Surgical Modifier Application during the Global Period

Medicare’s rules for postoperative global surgical package modifiers

Mary LeGrand, RN, MA, CCS-P, CPC

The first step in understanding how to use modifiers during the postoperative global surgical period is to review the definitions for the global surgical package. There are differences in the way the global surgical package is defined under the American Medical Association’s Current Procedural Terminology (CPT) rules and under Medicare. CPT and Medicare vary on what services may be reported during the global period and when those services may be reported.

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