![]() ![]() Another useful modifier is 59, which is used to indicate a different site or location and is also used to break the edits of code pairs in the National Correct Coding Initiative (CCI). Use modifier 58 for subsequent procedures that could be considered a grater or more extensive procedure than the original one, is staged or is therapeutic following a diagnostic procedure. ![]() Use modifier 79 if the subsequent surgery is unrelated to the first operation. Use modifier 78 if the subsequent operation is related to the original surgery. In order to be paid for surgical procedures performed within the global period, a modifier must be appended. Office visits for diagnoses related to the surgery may not be billed during the global period. Major surgical procedures are defined as those having a global period of 90 days, while minor surgical procedures have a global period of 10 or 0 days. The global period for a surgical procedure is 90, 10 or 0 days. MEDICARE’S GLOBAL PERIOD AND GLOBAL FEE Medicare’s global fee for ophthalmology surgery allocates 10% of the fee for preoperative work, 70% of the fee for intraoperative work and 20% of the fee for postoperative work. Although the surgical codes not as extensive as in the other ophthalmic subspecialties, there are still some pitfalls to be avoided. Tips on Glaucoma Surgical Coding for Medicare Riva Lee Asbell Philadelphia, PA INTRODUCTION Glaucoma surgical coding is usually rather straightforward, but occasionally some problems occur. ![]()
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