Question on Global Period Reporting

[dballard2004]

If a surgeon performs two surgeries in one session, one is minor with a 0-day global and the other is major with a 90-day global, am I correct that in this instance, you follow the longer global period for billing purposes (when two procedures are performed on the same day, CMS rules state that the global period is based on the procedure with the longer postoperative period. This is because the longer period includes more bundled services (pre‑operative visits, intraoperative care, and a longer postoperative follow‑up)?



Please verify and where can I find this specific rule? Thanks.

 

[amyjph]

One place but not exactly what you are talking about. But probably in this area.

https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/clm104C12.pdf

40.1 - Definition of a Global Surgical Package (Rev. 11287; Issued:03-02-22; Effective:01-01-22; Implementation: 02-22-22)B3-4821, B3-15900.2Field 16 of the Medicare Fee Schedule Data Base (MFSDB) provides the postoperative periods that apply to each surgical procedure. The payment rules for surgical procedures apply to codes with entries of 000, 010, 090, and, sometimes, YYY. Codes with “090” in Field 16 are major surgeries. Codes with “000” or “010” are either minor surgical procedures or endoscopies. Codes with “YYY” are A/B MAC (B)-priced codes, for which A/B MACs (B) determine the global period (the global period for these codes will be 0, 10, or 90 days). Note that not all A/B MAC (B)-priced codes have a “YYY” global surgical indicator; sometimes the global period is specified. While codes with “ZZZ” are surgical codes, they are add-on codes that are always billed with another service. There is no postoperative work included in the fee schedule payment for the “ZZZ” codes. Payment is made for both the primary and the add-on codes, and the global period assigned is applied to the primary code.

 

[dballard2004]

Thanks, so much!