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The Medicare Claims Processing Manual defines the global surgical package concept in Chapter 12, Section 40.1. The global period is defined for each surgical Healthcare Common Procedural Coding System (HCPCS) code. It can be zero or ten days following a surgical procedure for minor procedures or endoscopies, or it can be ninety days for major surgeries. This means that all services provided to a patient that included in the global package that provided during this period are considered integral to the global package.
Definitions for gestational age and birth weight. Gestational age can be calculated by the date of the last menstrual period but also by examination of the newborn infant using the Dubowitz or Ballard score. The Ballard score is an abbreviated version of the Dubowitz score, especially useful for estimation of gestational age in premature babies.