Question: Tennessee Subscriber Answer: fee schedule reimbursement.Procedures billed with modifier 78 include only the "intraoperative" portion of the service (no payment is made for pre- and postoperative care). They are generally reimbursed at 65-80 percent of the full fee schedule value, depending on how the fee schedule allocates the presurgical, intraoperative and postsurgical portions of the reimbursement for a particular CPT code. Note, however, that the global period is not reset when you submit a claim with modifier 78. Because the surgeon is only paid the intraoperative allowance, the global period remains from the initial surgery. For instance, if a complication occurs 20 days into a 90-day global period, only 70 global days remain after the return to the operating room.