There are three primary categories of global surgery packages that are labeled based on the number of post-operative days included in the global period — 0-day, 10-day, and 90-day global codes:
- 0-day — Includes the surgical procedure and pre-operative and post-operative physicians’ services on the day of the procedure, including visits related to the service;’
- 10-day — includes the same services as the 0-day global code plus visits related to the procedure during the 10 days post-procedure; and
- 90-day — Includes the same services as the 0-day global codes plus the pre-operative services furnished one day prior to the procedure and post-operative services during the 90 days post-procedure.
Concerned with inaccurate valuation and disparate payments associated with global surgery packages, CMS proposed transforming all 10- and 90-day global codes to 0-day global codes. Instead of receiving a single payment that includes follow-up care, physicians will bill for each individual post-surgery follow-up service. The transition for current 10-day global codes will begin in CY 2017 and the current 90-day global codes will begin in CY 2018. CMS will seek further input from stakeholders in the 2016 rulemaking cycle on this matter.