Global Package
How many days are included in the global period for a major surgery?
90 days
Closure involving only one layer of skin
Simple Closure
Procedure performed without entering the body
Noninvasive/External approach
The site receiving grafted tissue.
Recipient area
Removal of lesion with margins + simple closure.
Excision
Name one service always included in the surgical package.
Immediate postop care / E/M after decision / supplies in office
Closure with layered sutures in subcutaneous tissue.
Intermediate Closure
Instruments inserted by puncture or incision to access the site.
Percutaneous approach
The site donating tissue for graft
Donor area
Surgical removal of vertebral posterior arch
Laminectomy
What modifier is used for surgical care only?
Modifier 54
Closure involving reconstruction or scar revision
Complex Closure
Endoscope used via stoma or body opening.
Via natural/artificial opening endoscopic approach
Graft type extending through epidermis and dermis
Full-thickness
Manual return of a fracture/dislocation to normal alignment.
Manipulation
What’s NOT included in the global package?
Diagnostic tests, staged procedures, complications requiring surgery
When multiple wounds with the same complexity are repaired, how are lengths calculated?
Add lengths together and use one code
Cutting body open to access internal tissues.
Open approach
issue transfer with its own blood supply
Flap
Surgical immobilization of a joint.
Arthrodesis
True or False: Post-op therapies are included in the global surgical package
False
When multiple repairs are coded, in what order should they be listed?
Most complex → simplest, head-to-toe
What’s the least invasive surgical approach?
Percutaneous
Code selection for grafts is based on 3 factors: ____, ____, and ____.
Size, location, type
Relocation of tissue from one person to another, same species, non-identical genetics
Allotransplantation