Modifiers, Global Surgical Package and Bundled Services Explained

Modifiers, Global Surgical Package and Bundled Services Explained www.cco.us/pro...
Q: “Can you explain a little bit about modifiers, the global package and bundled services?”
A: There’s a lot of information in one question. When we start to talk about these, a lot of times you’re going to hear the phrases “global surgical package” and “bundled services.” When you hear those things, basically what’s happening is the insurance company is wrapping all of the services related to a specific procedure into the payment for that one CPT code. While there may be several CPT codes that could be broken up to represent the different pieces, they say bill us the big one and we’re going to bundle everything in there. Sometimes things are bundled and sometimes they’re bundled into what we call a global surgical package.
Now, there are different types of surgical packages. We’ve got major surgical packages and your minor surgical packages. Those all differ based on the number of global service days. Think about the procedures that they’re having performed. A patient has a major surgical procedure. Think about anything from restoring an open fracture, lining the bone back up, closing that was created when the bone popped through the skin, to removing organs.
Maybe the patient had a hysterectomy. Those are major surgeries. They oftentimes take a long period of time to heal well beyond ten days and they have what’s called the 90-day global package, which means for 90 days everything that that surgeon does is bundled in to that major surgical package. All those follow-up visits, anything that’s related to the surgery gets bundled up. That’s a shortened version of what a major surgical package is.
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More Information about modifier, global surgical package and bundled services:
[PDF]Medicare Global Surgery Fact Sheet - Centers for Medicare ...
www.cms.gov/......
Centers for Medicare and Medicaid Services
endoscopies, and global surgical packages that are split between two or more .... see specific procedures where the 26 modifier may be appropriate, review the ...
Surgical Package FAQ // ACEP
www.acep.org/.....
American College of Emergency Physicians
The global surgical package concept includes the pre-operative, ... Under CPT coding principles what modifier can be placed on the E/M when reported with a ...
What Is The Global Surgical Package? - Medical Coding and Billing ...
www.findacode.com › About Us › Articles
Other names for the Global Surgical Package include: Postoperative Period, Global Period, ... made by Medicare, we will review and refer to their definition for this article. ... If the procedure is unrelated, then modifier -79 would be reported.
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