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Last Modified: 10/30/2018 Location: FL, PR, USVI Business: Part A, Part B

Pre-operative visit within global period FAQ

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.
Source: The Centers for Medicare & Medicaid Services (CMS) internet-only manual (IOM) Pub. 100-04 Medicare Claims Processing Manual, Chapter 12, Section 40.2 external pdf file;
Medicare Learning Network® (MLN®) Global Surgery Fact Sheet external pdf file
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