Gynecology and women's health · global periods
Gynecology and women's health global periods.
The gynecology 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 |
|---|---|---|---|
58100 | Endometrial sampling (biopsy) without cervical dilation | 1.53 | 000 |
57454 | Colposcopy of the cervix with biopsy and endocervical curettage | — | 000 |
57455 | Colposcopy of the cervix with biopsy of the cervix | — | 000 |
58558 | Hysteroscopy with sampling of endometrium and/or polypectomy | — | 000 |
58571 | Laparoscopy, total hysterectomy, uterus 250 g or less, with removal of tubes and/or ovaries | — | 090 |
59400 | Routine obstetric care including antepartum care, vaginal delivery and postpartum care | — | MMM |
59510 | Routine obstetric care including antepartum care, cesarean delivery and postpartum care | — | MMM |
000- 0-day global: the visit on the day of the procedure is included; visits afterwards are billed.
090- 90-day global: the day before, the day of and 90 days of routine post-operative care are included.
MMM- Maternity global: antepartum, delivery and postpartum care under one code.
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 gynecology and women's health references
A receptionist that knows gynecology calls.
Post-op screening forms your surgeons approve, the on-call paged with answers, and confirmation calls before and after the operation.