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Neurosurgery Coding Alert

READER QUESTIONS:

Catch This 'XXX' and '000' Global Period Difference

Published on Wed Jun 24, 2009

Question: What's the difference between an "XXX" global period and a "000" global period? Indiana Subscriber Answer: Although both "XXX" and "000" global periods appear free of global bundling issues, there is a distinct difference between the two. The classification "XXX" (Global surgical rules do not apply) means that the service is truly free of global surgical bundling issues, and you can separately report services that you perform on the same date as the surgical procedure (such as E/M services). The "000" indicator applies to the date of the procedure only. Medicare will therefore bundle all surgical services that you perform on the surgery date into codes with this indicator.
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