Global Period Calculator

A free Global Surgery Calculator. Enter the surgery date and a CPT/HCPCS procedure code to instantly find the global surgical period and its end date.

or select the global period, if known

Data: CMS Physician Fee Schedule · released 12/29/2025

Overview

What is a global surgery period?

The global surgery period (or global period) is the span of time around a procedure during which Medicare considers routine, related care to be part of the payment for the surgery itself. During this window, typical follow-up visits and normal post-operative care are not billed separately, as they are already included in the surgical fee.

Every procedure code carries a global-period indicator that tells you how long that window lasts. The three that produce a date range are 000, 010, and 090 days. This Global Surgery Calculator reads that indicator from the fee schedule and turns your surgery date into the exact global-period start and end dates.

How the calculator counts the days

  • 0-day (000): the day of the procedure only.
  • 10-day (010): the day of the procedure plus the next 10 days.
  • 90-day (090): one pre-operative day, the day of surgery, and the following 90 days.

Enter a code in the calculator above to have the period looked up automatically, or choose the period directly when you already know it.

Reference

Global period codes explained

Medicare assigns every procedure a global-period indicator. These are the values the calculator reads from the fee schedule.

IndicatorMeaningGlobal period ruleCodes
000 Endoscopy / minor procedure Day of procedure only (0 post-op days). 1,271
010 Minor procedure Day of procedure + 10 post-operative days. 469
090 Major surgery 1 pre-op day + day of surgery + 90 post-operative days. 3,771
XXX Concept does not apply No global period applies to the code. 9,503
YYY Carrier-determined Your MAC sets the global period. 994
ZZZ Add-on code Follows the global period of the primary procedure. 953
MMM Maternity code Global surgery concept does not apply. 17

Questions

Frequently asked questions

What is a global surgery period?

A global surgery period is a window of time surrounding a procedure during which routine related care is bundled into the payment for the surgery and cannot be billed separately. Medicare assigns each procedure a global-period indicator: 000, 010, or 090 days, or XXX/YYY/ZZZ/MMM when the concept does not apply.

How does the Global Period Calculator work?

Enter the date the surgery was performed and either a CPT/HCPCS procedure code or a known global period (0, 10, or 90 days). The calculator looks up the code’s global-period indicator in the Medicare Physician Fee Schedule and returns the start and end dates of the global period.

What is a 90-day global period?

A 90-day global period applies to major surgery. It includes one pre-operative day (the day before surgery), the day of surgery itself, and 90 post-operative days, for a total span of 92 days.

Does the day of surgery count in the global period?

Yes. For 10-day and 90-day global periods, the day of the procedure is included. The 90-day period additionally includes the single day before surgery as the pre-operative day. The 0-day (000) global period is the day of the procedure only.

What do XXX, YYY, ZZZ, and MMM mean?

XXX means the global surgery concept does not apply. YYY means the global period is set by your Medicare Administrative Contractor. ZZZ is an add-on code whose global period follows the primary procedure. MMM identifies maternity codes, to which the usual global concept does not apply.

Which data does the calculator use?

It uses the global-period indicators and short descriptors published in the CMS National Physician Fee Schedule Relative Value File. The release date is shown beneath the calculator.