Occasionally a patient may experience a surgery complication that will require additional treatment. The payment for the initial surgery also includes post-op care during the global period (excluding testing). Under Medicare, the global period includes a postoperative time period for minor surgeries that can be either 0 or 10 days. For major surgeries the global period is 90 days.
Services that are covered during the global period include:
preoperative visits beginning the day prior to surgery (for major surgeries) and the day of surgery (for minor surgeries). The exam to determine the need for a major surgery would include modifier -57 appended to the exam code.
intraoperative services that are typically necessary and part of the surgical procedure.
complications following surgery, unless it is necessary to return to the operating room/procedure room.
postoperative visits during the duration of the postoperative period.
related visits in the hospital.
related visits in an ASC.
related visits for critical care services.
Modifier -58: Staged or related procedure or service by the same physician during the postoperative period. You can use this when the later intervention was:
More extensive than the original procedure.
Planned and documented at the time of the original procedure.
Injection given in the lane - this does not apply to laser codes that include “per session” or “one or more sessions” as part of their CPT descriptor. Payment is 100% of the allowable and a new global period begins.
For example, a patient presents during the postop period of a trabeculectomy in the right eye and receives a therapeutic injection of 5-FU. Use code 68200, -58, -RT for the subconjunctival injection and J9190 for the fluorouracil.
Modifier -78: Unplanned return to the operating/procedure room by the same physician or other qualified health professional following initial procedure for a related procedure during the postoperative period.
Payment for surgical codes is divided into three parts, with the pre-, intra- and postoperative components being allocated 10%, 70% and 20% of the allowable, respectively. When modifier -78 is appended, payment is made at 80% of the allowable. Since this payment doesn’t include the postoperative component’s 20%, a new postop period does not begin. The global period of the original surgery is the only one in effect.
For example, a YAG laser capsulotomy is performed in the right eye during the global period of cataract surgery in the same eye. Use code 66821 -78, -RT.
Modifier -79: Unrelated procedure or service by the same physician during the postoperative period.
The procedure could be unrelated because it is performed in the other eye. It could also be a new problem, not related to the initial surgery of the same eye. Payment is 100% of the allowable and a new global period begins.
For example, a chalazion is removed from the left eye during the global period for cataract surgery on the right eye. Use code 67800, -79, -LT.