Surgical Package and Global Period Rules Flashcards
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Read the first 6 Surgical Package and Global Period Rules flashcards as text
What does the CMS global surgical package include?
Answer: The operation plus related pre- and postoperative care
The CMS global surgical package bundles the operation and all related pre- and postoperative care within the defined global period into a single payment.
What is the global period for a minor surgical procedure?
Answer: 0 or 10 days
Minor surgical procedures are assigned a global period of either 0 days or 10 days depending on the specific procedure.
Which modifier is used on an E/M service when the decision for a major surgery is made on the day before or the day of surgery?
Answer: -57
Modifier -57 is appended to an E/M code when the service resulted in the initial decision to perform a major surgical procedure.
What is the global period for most major surgical procedures under Medicare?
Answer: 90 days
Most major surgical procedures have a 90-day global period, beginning the day after surgery, during which related postoperative care is included.
Which modifier indicates that an unrelated procedure was performed by the same physician during the postoperative period?
Answer: -79
Modifier -79 is used when the same physician performs an unrelated procedure during the postoperative global period of another procedure.
Modifier -58 is used when a subsequent procedure during the postoperative period is:
Answer: Staged, anticipated, or more extensive than the original procedure
Modifier -58 is used for staged, anticipated, or more extensive procedures performed during the postoperative period of the original surgery.