General surgery · global periods
General surgery global periods.
The surgical 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 |
|---|---|---|---|
47562 | Laparoscopic cholecystectomy | 10.47 | 090 |
47563 | Laparoscopic cholecystectomy with cholangiography | — | 090 |
44970 | Laparoscopic appendectomy | — | 090 |
49505 | Repair of initial inguinal hernia, age 5 or over, reducible | — | 090 |
49650 | Laparoscopic repair of initial inguinal hernia | — | 090 |
49591 | Repair of anterior abdominal hernia(s), any approach, total defect length under 3 cm, reducible (2023 code family) | — | 000 |
19120 | Excision of cyst, fibroadenoma or other benign or malignant tumor of breast, open, one or more lesions | 5.56 | 090 |
19301 | Partial mastectomy (lumpectomy) | — | 090 |
60240 | Thyroidectomy, total or complete | — | 090 |
44140 | Colectomy, partial, with anastomosis | — | 090 |
43775 | Laparoscopic sleeve gastrectomy | — | 090 |
10060 | Incision and drainage of abscess, simple or single | 1.22 | 010 |
11042 | Debridement, subcutaneous tissue, first 20 sq cm or less | 1.01 | 000 |
12001 | Simple repair of superficial wounds of scalp, neck, axillae, trunk or extremities, 2.5 cm or less | 0.84 | 000 |
45378 | Colonoscopy, flexible, diagnostic | 3.26 | 000 |
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.
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.
CPT codes and wRVUsICD-10 codesAll general surgery references
A receptionist that knows surgical calls.
Post-op screening forms your surgeons approve, the on-call paged with answers, and confirmation calls before and after the operation.