Posted on 30. Jan, 2009 by in Toolkit
It can be hard to keep track of what you can and can’t report based on global surgical package rules. Tack this list up on your wall to ensure you’re capturing all the reimbursement your physician is entitled to.
The following things are not included in Medicare’s global package:
1. The visit that determines the need for surgical intervention. Tip: This is the decision for surgery, and if the visit occurs on the day before or day of surgery, append modifier 57 (Decision for surgery) to the E/M code to indicate a major secondary surgical procedure and modifier 25 (Significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure or other service) for a minor secondary procedure.
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