April 2010
Modifiers required for visits during surgery global periods
Our Global Periods reimbursement policy states that claims for evaluation and management (E&M) visits must have the appropriate modifier attached during the global period for a surgical procedure. A global period is a period of time starting with a surgical procedure and ending some period of time after the procedure.
Reimbursement for surgical procedures includes payment for all related services and supplies that are routine and necessary to perform the procedure. These components of the surgical package are not eligible for separate reimbursement and will be denied if billed within the global period of the associated procedure. This applies to services performed in all settings (office, hospital, etc).
Review our Global Periods reimbursement policy that applies to all lines of business, including Asuris TruAdvantage.