Gastroenterology · global periods
Gastroenterology global periods.
The GI 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 |
|---|---|---|---|
45378 | Colonoscopy, flexible, diagnostic, with or without specimen collection by brushing or washing | 3.26 | 000 |
45380 | Colonoscopy with biopsy, single or multiple | 3.56 | 000 |
45385 | Colonoscopy with removal of tumor, polyp or other lesion by snare technique | 4.57 | 000 |
45384 | Colonoscopy with removal of lesion by hot biopsy forceps | — | 000 |
G0105 | Colorectal cancer screening; colonoscopy on individual at high risk (Medicare) | 3.26 | 000 |
G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (Medicare) | 3.26 | 000 |
43239 | Esophagogastroduodenoscopy with biopsy, single or multiple | 2.39 | 000 |
43235 | Esophagogastroduodenoscopy, diagnostic | 2.09 | 000 |
43249 | Esophagogastroduodenoscopy with transendoscopic balloon dilation of esophagus (under 30 mm) | — | 000 |
45330 | Sigmoidoscopy, flexible, diagnostic | 0.84 | 000 |
47000 | Biopsy of liver, needle, percutaneous | — | 000 |
000- 0-day global: the visit on the day of the procedure is included; visits afterwards are billed.
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.
CPT codes and wRVUsICD-10 codesAll gastroenterology references
A receptionist that knows GI calls.
Post-op screening forms your surgeons approve, the on-call paged with answers, and confirmation calls before and after the operation.