What is Included in the Global Package?

Last week we talked about the timeframe of the global period, now we will address what is included in the global package. These are services included in the global surgery payment and cannot be billed in addition to the surgery. Next week we will talk about what is NOT included in the global package.

Global package services include:

• Pre-operative visits after the decision is made to operate. For major procedures, this includes pre­operative visits the day before the day of surgery;

•  For minor procedures, this includes pre-operative visits the day of surgery;

• Intra-operative services that are normally a usual and necessary part of a surgical procedure;

• All additional medical or surgical services required of the surgeon during the post-operative period of the surgery because of complications, which do not require additional trips to the operating room;

• Follow-up visits during the post-operative period of the surgery that are related to recovery from the surgery;

•  Post-surgical pain management by the surgeon;

•  Supplies, except for those identified as exclusions: and

•  Miscellaneous services, such as dressing changes, local incision care, removal of operative pack, removal of cutaneous sutures and staples, lines, wires, tubes, drains, casts, and splints; insertion, irrigation and removal of urinary catheters, routine peripheral intravenous lines, nasogastric and rectal tubes; and changes and removal of tracheostomy tubes.

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