Neurosurgery · global periods
Neurosurgery global periods.
The neurosurgical 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 |
|---|---|---|---|
63030 | Laminotomy with decompression of nerve root, including partial discectomy, one interspace, lumbar | 13.18 | 090 |
63047 | Laminectomy with decompression of spinal cord and/or nerve roots, one segment, lumbar | 15.37 | 090 |
22551 | Anterior cervical discectomy and fusion, one interspace, below C2 | 25.00 | 090 |
22612 | Posterior or posterolateral lumbar arthrodesis, one level | — | 090 |
22633 | Combined posterior interbody and posterolateral lumbar arthrodesis, one level | — | 090 |
61510 | Craniectomy or craniotomy for excision of supratentorial brain tumor | — | 090 |
61312 | Craniectomy or craniotomy for evacuation of supratentorial hematoma | — | 090 |
62223 | Creation of shunt, ventriculo-peritoneal | — | 090 |
63650 | Percutaneous implantation of spinal neurostimulator electrode array (trial) | — | 010 |
010- 10-day global: routine post-operative visits for 10 days are included in the fee.
090- 90-day global: the day before, the day of and 90 days of routine post-operative care are included.
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 neurosurgical calls.
Post-op screening forms your surgeons approve, the on-call paged with answers, and confirmation calls before and after the operation.