As you may know, CMS had proposed to eliminate the 10- and 90-day
global surgery codes. These codes
include the patient visit on the day of the procedure, the procedure itself,
and any complications resulting from the surgery, and all follow-up care during
the 10- or 90-day recovery period. CMS
has found that global codes may pay for more follow-up care than is usually
furnished to Medicare patients resulting in their proposal to eliminate the 10-
and 90-day global payments for all care settings. In addition, CMS currently has
no way to value the services provided during this period because they are not
billed separately.
However, a coalition of surgical groups led by the American College
of Surgeons successfully included language in the Medicare Access and
Children's Health Insurance Program Reauthorization Act of 2015 (MACRA) to
precluded CMS from moving forward with its plan to transition 10- and 90-day
global codes to 0-day global codes. With
that legislation becoming law, CMS was forced to abandon its plan change the
payment structure of the global codes, but was charged with collecting data on
the value of the services provided during the global periods and use that data
to revise the global services starting in 2019. To this end, CMS called for comments on how best to gather this data and
the WOCN Society submitted comments which can be found here >>
The WOCN Society will continue to work with CMS as they
determine the future of global services.
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