GLOBAL PERIOD QUICK REFERENCE

GLOBAL PERIOD QUICK REFERENCE
Specialties: General Surgery • Ophthalmology • Urology • Otolaryngology (ENT)

Prepared for: Crystal
Version: 2025 CMS Global Period Indicators
Source: CMS Medicare Physician Fee Schedule (MPFS) & Global Surgery Booklet

General surgery procedures with global periods

CPT code	Procedure description	Global period (days)
47562	Laparoscopic cholecystectomy	90
47563	Laparoscopic cholecystectomy with cholangiography	90
47600	Cholecystectomy, open	90
44970	Laparoscopic appendectomy	90
44950	Appendectomy, open	90
49505	Inguinal hernia repair, age ≥5 (initial)	90
49507	Inguinal hernia repair, age ≥5 (incarcerated/strangulated)	90
49585	Umbilical hernia repair, age ≥5 (initial)	90
49587	Umbilical hernia repair, age ≥5 (incarcerated/strangulated)	90
49560	Incisional/ventral hernia repair	90
49561	Incisional/ventral hernia repair, incarcerated/strangulated	90
44140	Colectomy, partial	90
44160	Colectomy, partial with anastomosis	90
44204	Laparoscopic colectomy, partial	90
19301	Mastectomy, partial	90
19303	Mastectomy, simple/complete	90
19307	Mastectomy, modified radical	90
60240	Thyroidectomy, total	90
60220	Thyroid lobectomy, unilateral	90
38724	Axillary lymphadenectomy	90

Ophthalmology procedures with global periods

CPT code	Procedure description	Global period (days)
66984	Cataract surgery with IOL	90
66982	Complex cataract surgery	90
67108	Repair of retinal detachment (with vitrectomy)	90
67107	Repair of retinal detachment (scleral buckling)	90
67515	Anterior vitrectomy	90
65820	Peripheral iridectomy	90
66170	Trabeculectomy	90
66174	Aqueous shunt to extraocular reservoir	90
67311	Strabismus surgery, one horizontal muscle	90
67036	Pars plana vitrectomy	90
67039	Vitrectomy with focal endolaser, retinal	90
67041	Vitrectomy with panretinal endolaser	90
67028	Intravitreal injection of pharmacologic agent	0
68761	Closure of punctum; insertion of plug	0
31231	Nasal endoscopy, diagnostic (ENT; included for contrast)	0

Urology procedures with global periods

CPT code	Procedure description	Global period (days)
52000	Cystoscopy, diagnostic	0
52204	Cystourethroscopy, with biopsy	0
52234	Cystourethroscopy with resection of bladder tumor, small	90
52235	Cystourethroscopy with resection of bladder tumor, medium	90
52240	Cystourethroscopy with resection of bladder tumor, large	90
52332	Cystourethroscopy with ureteral stent placement	0
52351	Cystourethroscopy with ureteroscopy	0
52356	Cystourethroscopy with ureteroscopy and lithotripsy	0
50590	Lithotripsy, extracorporeal shock wave (ESWL)	0
52601	Transurethral resection of prostate (TURP)	90
52648	Laser vaporization of prostate	90
55866	Laparoscopic radical prostatectomy	90
50080	Percutaneous nephrostolithotomy with fragmentation	90
50081	Percutaneous nephrostolithotomy, complicated	90
55250	Vasectomy	0
54440	Insertion of inflatable penile prosthesis	90

Otolaryngology (ENT) procedures with global periods

CPT code	Procedure description	Global period (days)
30520	Septoplasty or submucous resection	90
30140	Submucous resection of inferior turbinate	90
42820	Tonsillectomy, age ≥12	90
42826	Tonsillectomy with adenoidectomy, age ≥12	90
42830	Adenoidectomy, primary	90
69436	Tympanostomy (ventilating tube insertion)	10
69424	Myringoplasty (repair of tympanic membrane)	90
31231	Nasal endoscopy, diagnostic	0
31237	Nasal endoscopy, surgical with debridement	0
31575	Laryngoscopy, flexible, diagnostic	0
60240	Thyroidectomy, total (shared with general surgery)	90
60220	Thyroid lobectomy, unilateral (shared)	90
42950	Pharyngoplasty	90
31253	Nasal/sinus endoscopy, with tissue removal (maxillary)	0
31255	Nasal/sinus endoscopy, with tissue removal (ethmoid)	0

🧾 Modifier Cheat Sheet

Modifier	Use Case	Quick Note
24	Unrelated E/M during 90‑day global	Must be outside scope of surgery
25	Significant, separately identifiable E/M on same day as minor procedure	Only for 0‑ or 10‑day globals
57	Decision for major surgery (E/M)	Day before or day of 90‑day global
58	Staged/related procedure during global	Planned or more extensive procedure
78	Return to OR for related procedure	Complication requiring surgical return
79	Unrelated procedure during global	New condition, not related to original surgery

📆 How to Count Global Days

Day of surgery = Day 0

• The calendar day the procedure is performed is always counted as Day 0.
• Postoperative days begin the following calendar day.

Counting rules:

• Count consecutive calendar days (not business days).
• Include weekends and holidays in the count.
• The global period ends at *midnight of the last day.

Examples:

• 10‑day global (010):
  • Surgery on June 1 → Day 0.
  • Global period runs June 2-June 11.
• 90‑day global (090):
• Surgery on June 1 → Day 0.
• Global period runs June 2-August 30.

Special indicators:

• 000 (0‑day): Only services on the day of surgery are bundled.
• 010 (10‑day): Minor surgeries; postop visits through Day 10 are bundled.
• 090 (90‑day): Major surgeries; postop visits through Day 90 are bundled.
• ZZZ Add‑on codes; inherit parent procedure’s global period.
• YYY: Carrier/MAC determines global period.