General Surgery Coding Alert

Relative Value File Gives You Global Information

You can find global periods for all CPT procedure codes by consulting Medicare's National Physician Fee Schedule Relative Value File, which you may download from the CMS Web site (http://www.cms.hhs.gov/PhysicianFeeSched/PFSRVF/list.asp#TopOfPage). Be sure to select the most recent file for download. To determine the global period for a particular procedure, simply look to the "GLOB DAYS" column of the fee schedule. You will find several categories, including "000" (zero), "010," "090," "XXX," "ZZZ," "YYY" and "MMM" (for maternity codes). Note that individual carriers may classify as "major" some procedures with a "YYY" global period. To ensure you-re selecting the correct modifier, check with your individual carrier before reporting an E/M service with these procedures.
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