Global Surgery

by  Find-A-Code
August 1st, 2017

The Medicare Learning Network provides guidance on the global surgical package:

The global surgical package, also called global surgery, includes all the necessary services normally furnished by a surgeon before, during, and after a procedure. Medicare payment for a surgical procedure includes the pre-operative, intra-operative, and post-operative services routinely performed by the surgeon or by members of the same group with the same specialty. Physicians in the same group practice who are in the same specialty must bill and be paid as though they were a single physician.

There are three types of global surgical packages:

• 0 day:Endoscopies and some minor procedures
  • No pre-operative period
  • No post-operative days
  • Visit on day of procedure is generally not payable as a separate service
• 10 day: Other minor procedures
  • No pre-operative period
  • Visit on day of the procedure is generally not payable as a separate service
  • Total global period is 11 days  Count the day of the surgery and the 10 days immediately following the day of the surgery. 
• 90 day: Major procedures
  • One day pre-operative included
  • Day of the procedure is generally not payable as a separate service
  • Total global period is 92 day, Count 1 day before the day of the surgery, the day of surgery, and the 90 days immediately following the day of surgery.

For more information go to Global Surgery Booklet by Medicare Learning Network

References:

• CMS.gov