Pain management · global periods
Pain management global periods.
The pain management 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 |
|---|---|---|---|
64483 | Transforaminal epidural injection with imaging guidance, lumbar or sacral, single level | 1.90 | 000 |
62323 | Interlaminar epidural injection with imaging guidance, lumbar or sacral | 1.80 | 000 |
62322 | Interlaminar epidural injection without imaging guidance, lumbar or sacral | — | 000 |
64493 | Paravertebral facet joint injection with imaging, lumbar or sacral, single level | 1.82 | 000 |
64490 | Paravertebral facet joint injection with imaging, cervical or thoracic, single level | — | 000 |
64635 | Radiofrequency destruction of paravertebral facet joint nerve, lumbar or sacral, single | — | 010 |
64633 | Radiofrequency destruction of paravertebral facet joint nerve, cervical or thoracic, single | — | 010 |
27096 | Sacroiliac joint injection with imaging guidance | — | 000 |
20610 | Arthrocentesis or injection, major joint or bursa | 0.79 | 000 |
20552 | Trigger point injections, one or two muscles | 0.66 | 000 |
20553 | Trigger point injections, three or more muscles | 0.75 | 000 |
64450 | Injection, anesthetic agent or steroid, other peripheral nerve or branch | 0.75 | 000 |
63650 | Percutaneous implantation of spinal neurostimulator electrode array (trial) | — | 010 |
64590 | Insertion or replacement of peripheral or gastric neurostimulator pulse generator | — | 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.
CPT codes and wRVUsICD-10 codesAll pain management references
A receptionist that knows pain management calls.
Post-op screening forms your surgeons approve, the on-call paged with answers, and confirmation calls before and after the operation.