Ophthalmic Coding Specialist Practice Test

What global surgical period is typically recognized by private payers for major surgeries?

1. 30 days

2. 60 or 90 days

3. 90 days only

4. 120 days

The correct answer is: 60 or 90 days

The typical global surgical period recognized by private payers for major surgeries is 60 or 90 days. This period reflects the time frame during which a patient may require follow-up care related to the surgery without being charged separately for those services. In ophthalmology and other medical fields, major surgeries typically involve more complex procedures that can lead to complications or require additional care, which is why a longer global period is recognized. The 60 to 90-day range allows for necessary postoperative care such as follow-up appointments, management of complications, and any required revisions to be included in the initial procedure's payment. This range also distinguishes major surgeries from minor surgeries, which usually have a shorter global period, typically around 10 to 30 days, as less follow-up is generally needed. Recognizing the correct global surgical period is important for accurate coding and billing practices, ensuring that healthcare providers are appropriately compensated for the comprehensive care they provide after a surgical procedure.