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Thread: Global Period

  1. #1

    Default Global Period

    A provider in one of my clinics is questioning the global period follow-up for minor surgeries. He states that the follow-up period is 10 visits--not 10 days as I have educated him. Can someone please clarify if it is 10 days or 10 visits and where can I find reference to this? Thanks.
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P
    Compliance Auditor

  2. #2

    Default Global Period

    Where in the world did your doc hear that???? lol

    CMS website is probably the best place to find your answer. I found this in the Carrier Manual:

    http://www.cms.hhs.gov/manuals/downloads/clm104c12.pdf

    Section 40.1 Gives the definition of Global Surgery. Section C defines the Global package.

    Hope this helps!

  3. #3
    Join Date
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    Default

    A surgery with 0 (zero) to 10 follow-up (postoperative) days is considered minor
    surgery.
    �� The global period for minor surgeries includes the day of surgery and the
    appropriate number of days immediately following the day of surgery.

    http://www.medicarenhic.com/provider...ry%20Guide.pdf

  4. #4
    Join Date
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    Kokomo, IN
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    Default global period

    Quote Originally Posted by dballard2004 View Post
    A provider in one of my clinics is questioning the global period follow-up for minor surgeries. He states that the follow-up period is 10 visits--not 10 days as I have educated him. Can someone please clarify if it is 10 days or 10 visits and where can I find reference to this? Thanks.
    Wow, I haven't ran across this before, I assumed everyone knew it was by days, but after you said this, you really can't find this distinction in a lot of places. I do have a book "Procedural Coding Professional 2009" and this book lists global days. I thought I would look up on PFS and it doesn't list "days" specifically, it just lists 000. In my book it also lists 000, and then if it's a minor surgery lists 010 and major lists 090 under global days.

    http://www.rivaleeasbell.com/article...alsurgery1.pdf.
    try this article and see if that helps.

  5. #5

    Default

    My understanding has always been that it was days and not visits.
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P
    Compliance Auditor

  6. #6
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    Apr 2007
    Location
    Greeley, Colorado
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    Default

    Think of it as a global period which would be the number of DAYS immediately related to the procedure. A 90 day global period includes the day before sugery. See if this link helps -

    http://www.medicarenhic.com/provider...al_period.html

    You may need to copy and paste in your browser.
    Lisa Bledsoe, CPC, CPMA

  7. #7

    Default

    Thanks to everyone for the help on this. I guess looking at it this way....if it was 10 visits, then the global period could last a year or more depending on when the patient follow-up with the provider. I will check out these links.
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P
    Compliance Auditor

  8. #8
    Join Date
    Apr 2007
    Location
    Aurora, IL
    Posts
    154

    Default

    Try looking in the Federal Register
    Chrissy, CPC

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