Using Modifiers 54, 55, & 56
Global Surgery Coding and Billing Guidelines
- Physicians who furnish the surgery and furnish all the usual pre-and post-operative care should bill for the global package by entering the appropriate surgical procedure CPT code. Separate billing is not allowed for visits or other services that are included in the global package.
- When different physicians in a group practice (same specialty) participate in the care of the patient, the group practice bills for the entire global package. The physician who performs the surgery is reported as the performing physician.