US · guidance
CMS Pub. 100-04, ch. 12, § 110.1
Global Surgical Payments
When a PA furnishes services to a patient during a global surgical period, A/B MACs (B)
shall determine the level of PA involvement in furnishing part of the surgeon’s global
surgical package consistent with their current practice for processing such claims. PA
services furnished during a global surgical period shall be paid at 80 percent of the lesser
of the actual charge or 85 percent of what a physician is paid under the Medicare
Physician Fee Schedule. Billing requirements and adjudication of claims requirements
for global surgeries are under chapter 12, sections 40.2 and 40.4 of the Medicare Claims
Processing Manual, pub. 100-04.
History
(Rev. 2656, Issuance: 02-07-13, Effective: 02-19-13, Implementation: 02-19-13)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
4ecb1acb6d89693ba59676950f4fbfbcf39a75b50b98308e4a51bc4c7303ef38
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