Regence has established global periods for certain
surgical procedures when the Centers for Medicare & Medicaid
Services (CMS)
Services related to the surgical procedure provided
within the global period for that surgical procedure,
whether the global period is established
by CMS or
Regence, are considered included in the payment for
the surgical procedure.
Global
Periods Established by Regence |
| CPT/HCPCS |
Description |
CMS Global |
Regence Global |
15999 |
Removal of
pressure sore |
YYY |
090 |
17999 |
Skin tissue
procedure |
YYY |
010 |
19499 |
Breast surgery
procedure |
YYY |
090 |
20999 |
Musculoskeletal
surgery |
YYY |
090 |
21089 |
Prepare face/oral
prosthesis |
YYY |
090 |
21299 |
Cranio/maxillofacial
surgery |
YYY |
090 |
21499 |
Head surgery
procedure |
YYY |
090 |
21899 |
Neck/chest
surgery procedure |
YYY |
090 |
22899 |
Spine surgery
procedure |
YYY |
090 |
22999 |
Abdomen surgery
procedure |
YYY |
090 |
23929 |
Shoulder surgery
procedure |
YYY |
090 |
24999 |
Upper arm/elbow
surgery |
YYY |
090 |
25999 |
Forearm or
wrist surgery |
YYY |
090 |
26989 |
Hand/finger
surgery |
YYY |
090 |
27299 |
Pelvis/hip
joint surgery |
YYY |
090 |
27599 |
Leg surgery
procedure |
YYY |
090 |
27899 |
Leg/ankle
surgery procedure |
YYY |
090 |
28899 |
Foot/toes
surgery procedure |
YYY |
090 |
29999 |
Arthroscopy
of joint |
YYY |
090 |
30999 |
Nasal surgery
procedure |
YYY |
090 |
31299 |
Sinus surgery
procedure |
YYY |
010 |
31599 |
Larynx surgery
procedure |
YYY |
090 |
31899 |
Airways surgical
procedure |
YYY |
090 |
32999 |
Chest surgery
procedure |
YYY |
090 |
33999 |
Cardiac surgery
procedure |
YYY |
090 |
36299 |
Vessel injection
procedure |
YYY |
090 |
37501 |
Vascular endoscopy
procedure |
YYY |
090 |
37799 |
Vascular surgery
procedure |
YYY |
090 |
38129 |
Laparoscope
proc, spleen |
YYY |
090 |
38589 |
Laparoscope
proc, lymphatic |
YYY |
010 |
38999 |
Blood/lymph
system procedure |
YYY |
090 |
39499 |
Chest procedure |
YYY |
090 |
39599 |
Diaphragm
surgery procedure |
YYY |
090 |
40799 |
Lip surgery
procedure |
YYY |
090 |
40899 |
Mouth surgery
procedure |
YYY |
090 |
41599 |
Tongue and
mouth surgery |
YYY |
090 |
41899 |
Dental surgery
procedure |
YYY |
090 |
42299 |
Palate/uvula
surgery |
YYY |
090 |
42699 |
Salivary surgery
procedure |
YYY |
090 |
42999 |
Throat surgery
procedure |
YYY |
090 |
43289 |
Laparoscope
proc, esoph |
YYY |
090 |
43499 |
Esophagus
surgery procedure |
YYY |
090 |
43647 |
Lap impl electrode,
antrum |
YYY |
090 |
43648 |
Lap revise/remv
eltrd antrum |
YYY |
090 |
43659 |
Laparoscope
proc, stom |
YYY |
090 |
43881 |
Impl/redo
electrd, antrum |
YYY |
090 |
43882 |
Revise/remove
electrd antrum |
YYY |
090 |
43999 |
Stomach surgery
procedure |
YYY |
090 |
44238 |
Laparoscope
proc, intestine |
YYY |
090 |
44799 |
Unlisted procedure
intestine |
YYY |
090 |
44899 |
Bowel surgery
procedure |
YYY |
090 |
44979 |
Laparoscope
proc, app |
YYY |
090 |
45499 |
Laparoscope
proc, rectum |
YYY |
090 |
45999 |
Rectum surgery
procedure |
YYY |
090 |
46999 |
Anus surgery
procedure |
YYY |
090 |
47379 |
Laparoscope
procedure, liver |
YYY |
090 |
47399 |
Liver surgery
procedure |
YYY |
090 |
47579 |
Laparoscope
proc, biliary |
YYY |
090 |
47999 |
Bile tract
surgery procedure |
YYY |
090 |
48999 |
Pancreas surgery
procedure |
YYY |
090 |
49329 |
Laparo proc,
abdm/per/oment |
YYY |
090 |
49659 |
Laparo proc,
hernia repair |
YYY |
090 |
49999 |
Abdomen surgery
procedure |
YYY |
090 |
50549 |
Laparoscope
proc, renal |
YYY |
090 |
50949 |
Laparoscope
proc, ureter |
YYY |
090 |
51999 |
Laparoscope
proc, bla |
YYY |
090 |
53899 |
Urology surgery
procedure |
YYY |
090 |
54699 |
Laparoscope
proc, testis |
YYY |
090 |
55559 |
Laparo proc,
spermatic cord |
YYY |
090 |
55899 |
Genital surgery
procedure |
YYY |
090 |
58578 |
Laparo proc,
uterus |
YYY |
090 |
58679 |
Laparo proc,
oviduct-ovary |
YYY |
090 |
58999 |
Genital surgery
procedure |
YYY |
090 |
59400 |
Obstetrical
care |
MMM |
090 |
59410 |
Obstetrical
care |
MMM |
090 |
59510 |
Cesarean delivery |
MMM |
090 |
59514 |
Cesarean delivery
only |
MMM |
010 |
59515 |
Cesarean delivery |
MMM |
090 |
59610 |
Vbac delivery |
MMM |
090 |
59614 |
Vbac care
after delivery |
MMM |
090 |
59618 |
Attempted
vbac delivery |
MMM |
090 |
59620 |
Attempted
vbac delivery only |
MMM |
010 |
59622 |
Attempted
vbac after care |
MMM |
090 |
59898 |
Laparo proc,
ob care/deliver |
YYY |
090 |
59899 |
Maternity
care procedure |
YYY |
090 |
60659 |
Laparo proc,
endocrine |
YYY |
090 |
60699 |
Endocrine
surgery procedure |
YYY |
090 |
64999 |
Nervous system
surgery |
YYY |
090 |
66999 |
Eye surgery
procedure |
YYY |
090 |
67299 |
Eye surgery
procedure |
YYY |
090 |
67399 |
Eye muscle
surgery procedure |
YYY |
090 |
67599 |
Orbit surgery
procedure |
YYY |
090 |
67999 |
Revision of
eyelid |
YYY |
090 |
68399 |
Eyelid lining
surgery |
YYY |
090 |
68899 |
Tear duct
system surgery |
YYY |
010 |
69300 |
Revise external
ear |
YYY |
090 |
69399 |
Outer ear
surgery procedure |
YYY |
090 |
69799 |
Middle ear
surgery procedure |
YYY |
090 |
69949 |
Inner ear
surgery procedure |
YYY |
090 |
69979 |
Temporal bone
surgery |
YYY |
090 |
G0186 |
Dstry eye
lesn,fdr vssl tech |
YYY |
090 |