Understanding CPT Global Surgical Package

    • Coding Tip: Remember, the NCCI/CMS Global Package may differ from the CPT Global Surgical Package.

CPT Global Surgical Package:

Included in the surgery package and not separately billable:

  • Local infiltration, metacarpal/metatarsal/digital block or topical anesthesia
  • Subsequent to the decision for surgery, one related E/M encounter on the date immediately prior to or on the date of procedure (including history and physical)
  • Immediate postoperative care, including dictating operative notes, talking with the family and other physicians
  • Evaluating the patient in the post-anesthesia recovery area
  • Writing orders
  • Typical postoperative follow-up care
  • Major Surgery:
    • Has a preoperative period of 1 day, with 90 days for the postoperative period
  • Minor Surgery:
    • The preoperative period is the day of the procedure, with a postoperative period of either 0 or 10 days depending on the procedure

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