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Modifier 25 - Significant & Separate

A White Paper Provided by Coding Strategies, Inc.

There are occasions that warrant both a patient encounter and a surgical or other significant procedure, but it may be difficult to determine when both services can be charged. According to authoritative coding guidance and Medicare regulations, the global surgical package includes all necessary services normally furnished before (preoperative), during (intraoperative) and after (postoperative) a procedure by the surgeon or by members of the same group within the same specialty. The global surgical package applies to physician (or qualified nonphysician healthcare professional) services in any setting, including inpatient hospital, outpatient hospital, Ambulatory Surgical Center (ASC) and physician office. 

Mastering Dialysis Circuit Procedures

Tuesday, January 24, 2017 (1pm EDT)

On January 1 all of the old familiar codes for arteriovenous fistulas and grafts will be replaced with completely new codes and guidelines.  If you’re still trying to get your head around the changes, you’re not alone.  In this information-packed webinar, coding guru Melody Mulaik will walk you through the 2017 codes and guidelines so you can code with confidence. 

  • New terminology—what does it all mean?
  • Coding for diagnostic imaging (“fistulogram”)
  • Coding for angioplasty and stent placement in peripheral and central segments
  • Coding for mechanical thrombectomy and embolization
  • Differences between lower and upper extremity procedures
  • What’s bundled and what’s separately repor