Global Surgical Package: When to Bill and When Not to Bill, that is the Question

September 8th, 2017 - Stephanie Allard, CPC, CEMA, RHIT
Categories:   Billing   CPT® Coding   Surgical Billing & Coding   Modifiers  
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The global surgical package is inclusive of the services that would normally be provided to the patient following surgery. Depending on the global period assigned to a CPT code, the pre-operative, intra-operative and post-operative services could be included in the global surgical package.

The global period is defined by the number of global days assigned to a CPT code.

Zero day global period has no pre-operative or post-operative services included.

10-day global period has no pre-operative period, but does include a post-operative period. The global period includes 11 days - the day of the procedure and the 10 days following the procedure.

90-day global period includes a pre-operative and post-operative period. The global period includes 92 days - the day before the procedure, the day of the procedure and the 90 days following the procedure.

The global periods apply regardless of patient setting: impatient hospital (even critical care unit), outpatient hospital, ambulatory surgical center, and physician offices.

Services included in the global surgical package:

**Since the 10 day global period does not include a post-operative period, the follow up visits beyond the day of the procedure are separately billable.

Services not included in the global surgical package that are separately billable and payable:

The Medicare Administrative Contractor Palmetto has a great resource on their website (listed below in the references area below) that allows you to type in the CPT code and it will state the global days as 0, 10 or 90. On the same page, there is a section where you can enter the date of service and it will calculate the calendar date that is 10 or 90 days past your date of service.

Remember when determining to bill and when not to bill within a global surgical package, it is important to know all of the providers involved in the patient's care. Is the provider you are billing for the surgeon? What care are they providing? What group or practice do they belong to?

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