Monograph - Surgery - M16

 

This discussion emphasizes Medicare's global surgery policy. Other third party payers seldom publish similar instructions and are not bound to follow Medicare's policy. It is worthwhile to inquire about other payers' regulations as they may have different policies for surgical procedures (i.e., shorter postop periods).

Numerous reimbursement rules apply to surgical procedures. To be properly paid for the surgical service provided, you should understand the global surgery policy, which modifiers to utilize, what services are incidental, and what services and supplies are reimbursed in addition to the procedure.
 
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