Dermatology · global periods
Dermatology global periods.
The dermatology procedures with a CMS global package, and how long it runs. Inside the package, routine post-operative visits are 99024; anything else needs the right modifier.
Procedures and their global period.
Global periods as assigned in the 2025 CMS Physician Fee Schedule. Commercial payers usually follow CMS but may not. Confirm before billing.
| Code | Description | Work RVU | Global |
|---|---|---|---|
11102 | Tangential (shave) biopsy of skin, single lesion | 0.66 | 000 |
11104 | Punch biopsy of skin, single lesion | 0.83 | 000 |
11106 | Incisional biopsy of skin, single lesion | 1.01 | 000 |
17000 | Destruction of premalignant lesion (actinic keratosis), first lesion | 0.61 | 010 |
17004 | Destruction of premalignant lesions, 15 or more lesions | — | 010 |
17110 | Destruction of benign lesions other than skin tags (warts), up to 14 | 0.70 | 010 |
17111 | Destruction of benign lesions, 15 or more | — | 010 |
11402 | Excision, benign lesion, trunk, arms or legs, excised diameter 1.1 to 2.0 cm | — | 010 |
11602 | Excision, malignant lesion, trunk, arms or legs, excised diameter 1.1 to 2.0 cm | — | 010 |
12031 | Intermediate repair, scalp, axillae, trunk or extremities, 2.5 cm or less | — | 010 |
17311 | Mohs micrographic surgery, head, neck, hands, feet or genitalia, first stage, up to 5 blocks | 6.20 | 000 |
17313 | Mohs micrographic surgery, trunk, arms or legs, first stage, up to 5 blocks | — | 000 |
11900 | Intralesional injection, up to and including 7 lesions | 0.52 | 000 |
10060 | Incision and drainage of abscess, simple or single | 1.22 | 010 |
000- 0-day global: the visit on the day of the procedure is included; visits afterwards are billed.
010- 10-day global: routine post-operative visits for 10 days are included in the fee.
Inside the package.
- Included: the day before (90-day only), the day of, routine post-operative visits (report 99024), dressing changes, suture removal and the usual complications treated in the office.
- Not included: a return to the operating room (modifier 78), an unrelated problem (24 for a visit, 79 for a procedure), a staged procedure (58), and the visit where surgery was decided (57 for 90-day, 25 for 10-day).
- The receptionist’s post-op confirmation calls and screening pages fall inside the package too; they cost the practice minutes, not claims.
A receptionist that knows dermatology calls.
Post-op screening forms your surgeons approve, the on-call paged with answers, and confirmation calls before and after the operation.