tci General Surgery Coding Alert - 2003 Issue 12

Reader Question: Don't Confuse 'XXX' and '000' Global Periods

Question: What's the difference between an "XXX" global period and a "000" global period?Indiana Subscriber Answer: Although both XXX and 000 global periods appear free of global bundling issues, you should know that there is a distinct difference between the two. The classification XXX (Global surgical rules do not apply) means that the service is truly free of global surgical bundling issues, and you can separately report services that you perform on the same date as the surgical procedure (such as E/M services). The 000 indicator applies to the date of the procedure only. Medicare will...

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