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SVS - Surgical Modifiers in Vascular Surgery - Member

Modifiers tell the payor what happened in a surgery and more importantly impact reimbursement in different ways. Appending correct modifiers can make the difference between a quickly paid claim and one that languishes in your AR waiting for resubmission. Physician documentation must reflect what happened differently in a procedure to lead the code/biller to appending the correct modifier. This webinar explains the most common modifiers and how they are used accurately in actual vascular surgery scenarios.



As a result of attending this course, you will be able to:

  • Describe the difference between same day and global period modifiers.
  • Understand how modifiers impact reimbursement.
  • Understand how documentation supports different modifiers.

Surgical Modifiers in Vascular Surgery

  • When should a 22 Modifier Be Used for Increased Procedural Services and Will it get Paid?
    • What needs to be documented?
  • Same Day Modifiers
    •  51 vs 59 what’s the difference?
    •  52 vs 53 what’s the difference?
  •  Global Period Modifiers
    • When do these apply?
    • Modifier 58. Is it only for a planned procedure?
      • What is the reimbursement impact?
    • Modifier 79. What makes an unrelated procedure? An infection at the incision site? Debridement of a pre-existing ulcer?
      • What is the reimbursement impact?
    • Modifier 78. Are procedures on an existing AV graft or fistula a complication?
      • How does this impact reimbursement and the global period?
  •  Clinical scenarios

Teri Romano, BSN, MBA, CPC, CMDP

Speaker and Consultant


Teri Romano has over twenty-five years of consulting and teaching experience in the health care field. Ms. Romano works with physician groups and hospitals combining a background in clinical systems with solid approaches to operational and organizational problem solving.

Teri is co-developer and instructor for the national coding and reimbursement workshops sponsored by the American College of Surgeons, the Society for Vascular Surgery and the American Association of Neurological Surgeons.  She also provides on-site customized coding and reimbursement courses to physician and hospital groups, specializing in neurosurgery, general surgery, vascular surgery, and vein well as E/M and surgical case audits to assist physician groups in their compliance activities. In addition, she consults with vein, vascular, general surgical, and neurosurgical practices on practice management issues including service line development, revenue enhancement, staffing models, appeals management and expense reduction.

Read more about Teri HERE

AAPC Accreditation

This program meets AAPC guidelines for 1.0 CEU. Can be split between Core A, CEMC and CPMA after successful completion of a Post-Test for continuing education units. 

Accreditation expiration date: 5/31/24

Important Note: Please be sure to complete the course before the CEU expiration date if you plan to obtain CEU credits.


Surgical Modifiers in Vascular Surgery - Recording
Open to view video.  |  57 minutes
Open to view video.  |  57 minutes
Surgical Modifiers for Vascular Surgery - Slides
Open to download resource.
Open to download resource.
SVS Course Evaluation
Please follow the link to fill out your post-course evaluation.
Surgical Modifiers in Vascular Surgery - CEU Test
10 Questions  |  3 attempts  |  7/10 points to pass
10 Questions  |  3 attempts  |  7/10 points to pass
CEU Certificate
Up to 1.00 medical credits available  |  Certificate available
Up to 1.00 medical credits available  |  Certificate available

Registering Multiple Attendees 

  1. Create, or have each attendee create, a user account here
    1. If one person is creating all of the accounts you will need to log out each time to create the next account.
  2. Log in with the account that you wish to pay through and add desired products to your cart. 
  3. Once you have selected all the desired products, go to your cart. 
    1. You will initially be registered for each product. You can edit this after you have added the additional attendees using the "remove" button.
  4. To add the additional attendees select the green button in your cart titled “Add a Registration for Another User.”
  5. Enter the email address for the additional attendee.  If they have an account their name will populate and you can select “Add Product for This User.”
  6. The attendee's name will appear in the registrant column under your own. 
  7. Repeat this for each additional attendee.
  8. Proceed, filling out the additional information for each attendee and completing payment.

If you have any issues with completing your registration please email us at or call 312 642-8310