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General Surgery Billing Guide
The document provides guidance on billing Medicare for general surgery services, including: 1) Global surgery packages include pre-, intra-, and postoperative services for major and minor surgeries. Major surgeries have a 90-day global period while minor have 0-10 days. 2) Services included in global packages are preoperative visits, intraoperative services, postoperative visits, and complications following surgery. Services not included are unrelated visits, postoperative complications requiring another surgery, treatment for underlying conditions, and distinct procedures. 3) Modifiers are used to indicate separate evaluation and management services (-24,-25), surgical services only (-58,-78,-79), transfer of care (-54,-55), and other circumstances.
