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Last Modified: 7/13/2022 Location: FL, PR, USVI Business: Part A, Part B

Modifier FAQ -- Pre-operative visit within global period

Q. Is a pre-operative visit the week before a surgery considered within the "global period?"
A. No. For major surgeries, a pre-operative visit on the day of or the day before the surgery would be included within the global period. If the decision for a major surgery was made during an evaluation and management (E/M) visit, you can bill the E/M with a modifier 57, indicating the decision for surgery. For minor surgeries, there are no pre-operative days in the global period and the modifier 57 would not be applicable.
If medically necessary, a visit the week before could be separately billable.
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.