What is the Global Period?
Under the rule of Medicare physician fee schedule, procedures are paid inclusively according to a defined time period of either 10 or 90 days of the post-operative schedule. This is what we call ‘The Global Period’. It includes the value and services that have been provided as the pre- and post- surgical procedure.
Surgical services can be typed into two main categories; the minor surgery that involves only 10 days of post-operative period and the major surgery that implicates a 90 days post-operative period. CMS measures the quality and quantity of the services provided during the Global Period for certain extensive volume procedures.
The main categories of a Global Period:
• 0 Days-
Procedures like endoscopic and minor surgeries that already have pre- and postoperative relative values, included in the fee schedule amount. The E/M service performed on the same day are usually not distinctively reimbursed.
• 10 Days-
Minor procedures that have relative pre-operative values inclusive of the day of the procedure and a 10 days post-operative value, included in the fee schedule payment. The E/M services performed on the day and during the Global Period of 10 days post-operative, are usually not distinctively reimbursed.
• 90 Days-
Major surgeries that involve a period of the pre-operative day and a 90 days post-operative period along with the day of the procedure, are all included in the fee schedule amount. The E/M services performed on the day of the procedure and during the Global Period of 90 days as post-operative, are not usually distinctively reimbursed.
The pre-defined Global Period does not apply. A 42 days Global Period is allocated for certain maternity codes by Medica.
The code does not follow the Global Period concept.
A 0-day Global Period concept is allocated to such codes by Medica. However, the matter is subjected to dedication and individual pricing, whether to assign the Global Period or not.
Billed with another service, ZZZ codes are the add-on codes. No post-operative Global Period charges are included by the addition of this code in the National Physician fee schedule amount. The Global Period concept is also not applicable to the code.