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Where physicians agree on transfer of care during a 10-day or 90-day global period, the following modifiers are used: 54 for surgical care only, or 55 for postoperative management only Physician rendering: One-day preoperative care Intraoperative services Any in-hospital visits Bill services with: Date of the surgery Procedure code for the surgery 54 modifier to indicate that the bill is reflective only of the surgical care If the physician who performed the surgery relinquishes care any time after the surgery, the date of the transfer of care must be indicated in item 19 or the equivalent for electronic submission

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