Surgical Package and Global Period Rules Flashcards
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Read the first 6 Surgical Package and Global Period Rules flashcards as text
Which of the following services is NOT included in the global surgical package?
Answer: Treatment of conditions unrelated to the surgery during the postoperative period
Treatment of unrelated conditions during the postoperative period is excluded from the global package and may be billed separately with modifier -24.
A procedure assigned a '0-day' global period means postoperative care is included:
Answer: Only on the day of the procedure
A 0-day global period means postoperative care on the day of the procedure is bundled, but care on subsequent days is billable separately.
In the Medicare Physician Fee Schedule, what indicator designates procedures to which the global surgery concept does not apply?
Answer: XXX
The indicator 'XXX' means the global surgery concept does not apply to that procedure code.
Which modifier is used when the same physician repeats the exact same procedure on the same day?
Answer: -76
Modifier -76 is used to indicate that the same procedure was repeated by the same physician on the same day.
Under the global surgical package, which of the following services IS separately reportable?
Answer: Diagnostic services not related to the surgical procedure
Diagnostic services unrelated to the surgery are separately reportable even when rendered during the global period.
What is the purpose of modifier -25 in relation to the global surgical package?
Answer: To report a significant, separately identifiable E/M service on the same day as a minor procedure
Modifier -25 is appended to an E/M code to indicate it was a significant, separately identifiable service provided on the same day as a procedure or other service.