How long is the postoperative global period for a major surgical procedure?
According to Medicare, a major surgery has a global period of 90 days, and a minor surgery has a global period of either 10 or 0 days. Thus, the time frame of, not the complexity of, the surgery determines whether a surgery is major or minor.
Does modifier 58 restart the global period?
Modifier –58 reimburses the surgeon based on 100 percent of the allowed amount and restarts the global period (as long as it exceeds the first global period).
Do all surgeries have a global period?
Major surgical procedures (90-day global period) Care on the day of the surgery is included in the global period unless the decision to perform the surgery was made during the visit on this day. (See modifier -57).
Is Post op infection included in global?
Medicare says they will not pay for any care for post-operative complications or exacerbations in the global period unless the doctor must bring the patient back to the OR. This also applies to bringing the patient back to an endoscopy suite or cath lab.
What is a 90-day global period?
• A major procedure (90 post-operative days) includes the day before and the day of surgery. unless that E/M service resulted in the initial decision to perform the surgical procedure.
What does a 10-day global period mean?
A 10-day global has no pre-operative period and a 10-day post-operative period. This means the global package applies for 11 days (the day of the procedure or service, and 10 days following). Major procedures are more resource-intensive, require a longer recovery for the patient, and have a 90-day global period.
What modifier do you use for global period?
Use modifier “-55” with the CPT procedure code for global periods of 10- or 90-days. Report the date of surgery as the date of service and indicate the date that care was relinquished or assumed. Physicians must keep copies of the written transfer agreement in the beneficiary’s medical record.
What is the global period after surgery?
Total global period is 11 days. Count the day of the surgery and the 10 days immediately following the day of the surgery. 90-day Post-operative Period (major procedures).
What does global surgery period include?
When the global period indicator = 090 days, the global period includes the day prior to surgery, the day of surgery, and 90 days following (a total of 92 days). Services included in the global surgery package become eligible for separate reimbursement on day 91 after surgery.
What is surgical global period?
A global period is a period of time starting with a surgical procedure and ending some period of time after the procedure. Many surgeries have a follow-up period during which charges for normal post- operative care are bundled into the global surgery fee.