What Modifier for Global Surgery Should You Use?




Modifier for Global Surgery  (when used during the Surgical Global Days)

Modifier 24

Evaluation and management service performed during the postoperative period for reasons unrelated to the original surgical procedure.

Modifier 57




Evaluation and Management service involving the initial decision to perform surgery either the day before or the day of a 90-day major surgery. Append when the decision to perform surgery is made the day before or day of a 90-day major surgery.

An Evaluation and Management service resulted in the initial decision to perform surgery during the E/M encounter.

Let’s describe this modifier 57:

An OB/GYN Doc sees a patient who complains with severe abdominal pain. It turned out (through ultra sound, radiology and all other diagnostic testing and documentations), the patient is having an ectopic pregrancy. The OB/GYN performs the laparoscopic surgery on the same day. The E/M encounter will
then be reported with modifier 57 which resulted to decision for surgery. The laparoscopic surgery should also be reported as performed on the same day without a modifier.

The following are your Modifier for Global Surgery (Postoperative)

While the patient is covered by a global period, the following three modifiers may be appended to surgical CPT codes to indicate that an unrelated surgical procedure is being reported:

Modifier 58:

Staged or related procedure or service by the same physician or other qualified healthcare professional during the postoperative period

Modifier 78:

Unplanned return to the operating/procedure room by the same physician or other qualified healthcare professional following initial procedure for a related procedure during the postoperative period

Modifier 79:

Unrelated procedure or service by the same physician or other qualified healthcare professional during the postoperative period



References you can read: (Modifier for Global Surgery)

Chapter 12 – Physicians Nonphysician Practitioners

What Modifier for Global Surgery Should You Use?

 How to Use Billing Modifiers in Medical Coding

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