The Global Surgical package varies on a procedure-by-procedure basis, and defines specific services that are included

with the surgical procedure code. Services included in a surgical package include E&M services, some anesthesia
services, writing orders and postoperative care.

Zero Day Post-Operative Period, (endoscopies and some minor procedures).

• No pre-operative period
• No post-operative days
• Visit on day of procedure is generally not payable as a separate service
Unless it’s a separate consult documenting all required E&M components.

10-Day Post-Operative Period, (other minor procedures).

• No pre-operative period
• Visit on day of the procedure is generally not payable as a separate service
• Total global period is 11 days. Count the day of the surgery and 10 days following the day of the surgery

90-day Post-Operative Period, (major procedures)

• One day pre-operative included

• Day of the procedure is generally not payable as a separate service
• Total global period is 92 days. Count 1 day before the day of the surgery, the day of surgery, and the 90 days immediately
following the day of surgery.

While codes with “ZZZ” are surgical codes, they are add-on codes that you must bill with another service.
There is no post-operative work included in the MPFS payment for the “ZZZ” codes. Payment is made for
both the primary and the add-on codes, and the global period assigned is applied to the primary code. There
are times when the modifier 26 may be appropriate for use with the global surgery indicator of “ZZZ”. To
see specific procedures where the 26 modifier may be appropriate.

Codes with “YYY” are contractor-priced codes, for which contractors determine the global period. The global period for these cod
will be 0, 10, or 90 days. Note: not all contractor-priced codes have a “YYY” global surgical indicator. Sometimes the global period
specified as 000, 010, or 090.

In addition, codes may also have an “XXX” indicating the global concept does not apply.

For additional information, click HERE https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-

MLN/MLNProducts/downloads/GloballSurgery-ICN907166.pdf)

IR CODE Global Period

Aspiration Codes
10021 XXX
10022 XXX
Soft-tissue marker
10035 000
10036 ZZZ
Integumentary system
10160 10
19030 000
19081 000
Biopsy Procedures
20206 000
 20220-20225 000
32400-32405 000
47000 000
48102 10
49180 000
50200 000
62269 000
AAA Endoprothesis Deployment
34800-34805 90
34900 90
Fenestrated Endovas Repair AAA
34841-34848 YYY
Transluminal Angioplasty
35450-35460 000
35471-37476 000
Dialysis Access
36147 XXX
Central Venous Access Procedures
36555-36556 000
36557-36566 10
36568-36569 000
36570-36571 10
36575 000
36576-36578 10
36580 000
36581-36583 10
36584 000
36585-36590 10
Arterial Mechanical Thrombectomy and transcatheter thrombolytic infusion
37184 000
37185 ZZZ
37186 ZZZ
37187-37188 000
37211-37214 000
61645-61650 000
Carotid Stent Placement
37215-37216 90
Endovascular Revascularization/stent placement—arterial and venous
37220-37221 000
37222-37223 ZZZ
37224-37227 000
Transcatheter Stent Procedures
37236 000
37237 ZZZ
37238 000
37239 ZZZ
Vascular Embolization and Occlusion Procedures
37241-37244 000
Embolization (Non-Head/Neck)
61623-61626 000
Intracranial angioplasty
 61630-61635 XXX
Intravascular ultrasound (IVUS)
37252-37253 ZZZ
Stab phlebectomy
36468 000
36470-36471 10
36475-36479 000
37765-37766 90
ERCP
43260-43277 000
43453 000
Percutaneous biliary procedures
47490 10
47531- 47544 000
DRAINAGE PROCEDURES
Thoracentesis
32554-32555 000
32556-32557 000
51100-51102 000
Para/Peritonecentesis
49082-49084 000
Sclerotherapy of a percutaneous fluid collection
49185 000
Gastrointestinal Procedures
49440-49442 10
49446 000
49450-49452 000
Urinary Procedures
50387 000
50390-50395 000
50430-50435 000
50693-50695 000
Ablation Procedures
Bone Tumor (s) Ablation
20982-20983 000
Lung Tumor(s) Ablation
32998 000
Liver Tumor(s) Ablation
47380 90
47382-47383 10
Perc Renal Tumor (s) Ablation
50250 90
50592-50593 10
Injection, Change, Removal
50080-50081 90
50396 000
50688 10
51600-51610 000
Spinal Procedures
22510-22511 10
62280-62282 10
 62284 000
62310-62311 000
64420-64421 000