I agree that this is global to the original procedure.
Don't get into a fight with this physician. It won't help either of you.
I made a list of all the procedures with 0 or 10 global days that our plastic surgeons typically perform (lots of lesion removal codes, laceration repairs, etc). I gave them that list. Everything else is 90 days. It wasn't that hard to come up with and they went away with a feeling that I was genuinely helping them. Makes for a nicer working relationship and they are more likely to listen to my advice in the future.
I work in Pediatrics so we don't generally deal with medicare patients, but you are correct that CMS indicated a year or more ago that NO visits - even for complications - would be paid during the global period. This includes hospitalization (e.g. patient with serious wound infection and dehisence who requires admission for IV antibiotic). They will pay for a return to the OR for a corrective procedure, but no visits.
Hope that helps.
F Tessa Bartels, CPC, CEMC
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