- February 11, 2026
- Posted by: Josh Knoll
- Category: Gynecology
If you work in a GYN practice, you’ve probably seen a claim get denied with a message like: “Service included in surgical package.” Yes, it is quite common, and it is really frustrating. This is because you did the work and saw the patient, but the insurance company says it’s free under the Global Period in gynecology billing. And in 2026, when reimbursements are getting tighter, you can’t afford to guess which visits are free and which ones are billable.
What is the Global Period in Gynecology Billing?
It is when the global period has a flat-rate price for a surgery. This means when you bill for a procedure, the insurance company isn’t just paying for the time in the OR. They are pre-paying for:
- Visit the day before surgery.
- The surgery itself.
- All the routine follow-up care for a set number of days.
Technically, this comes with three big windows starting from 0 Days, which is for minor procedures like some biopsies, where you only get paid for the day of the procedure.10 Days is for minor surgeries, where the next 10 days of follow-ups are free. And 90 Days for major surgery like a hysterectomy, where most practices lose money by not tracking the calendar.
While we know that pregnancy billing is the ultimate global period where you bill one code (like 59400) that covers months of check-ups, the delivery, and the 6-week postpartum visit. The mistake most people make here is thinking that everything during those 9 months is included. It’s not, as in the case of ultrasound, a fetal non-stress test, or treating the patient for a sinus infection, here all this is billable. So, if you don’t code those separately, you are essentially working for free. While all these can complicate the billing process, it is no secret that many often end up losing a lot of the money they expected due to this confusion; and thus looking for alternative solution.
Why Most GYN Practices Are Switching to Outsourcing
Keeping track of these dates and modifiers is a full-time headache. Many practices are moving to specialized GYN billing companies for a few simple reasons starting from:
1. They Know the GYN Language:
General billers often miss the nuances of women’s health. A specialist billing team knows exactly which codes are bundled and which ones can be broken out to increase your revenue.
2. No More Modifier Mistakes
Many in-house billers are afraid to use modifiers like 24 or 25 because they fear audits. Outsourcing firms have scrubbing software that checks the logic of the claim before it’s sent, so you can bill confidently without the stress.
3. Faster Cash Flow
When you bill a global service incorrectly, the claim bounces back 30 days later. An outsourced team catches those errors in real-time. Instead of waiting 60 days for a check, you’re looking at 14 to 21 days.
How Sunknowledge Maximizes Reimbursement during Global Periods
Today, gynecologists are struggling the most here. Being an experienced gynecologist billing company with more than 15 years of experience and excellent references across the US, we, however, ensure:
1. The Unrelated Visit (Modifier 24):
If a patient is recovering from surgery but comes in for something unrelated, e.g., a breast lump or a UTI, we use Modifier 24. It tells the insurance, stating that this isn’t about the surgery; it is just a visit.
2. The Separate Issue (Modifier 25):
This applies when a patient comes in for a routine check up and, as a result of the observation; the gynecologist performs a procedure (e.g., an IUD insertion) on the same day.
3. The Back to the OR (Modifier 78 or 79):
If a patient has a complication or needs a second, unrelated surgery during the recovery period these modifiers are the only way to get reimbursed properly
Partnering with us is where you get an end to end billing operation at only $ 7 an hour. Ensuring the highest productivity metrics without compromising on the standard, our expert guarantee 99.9 % accuracy. A cleaner claims management with a 30 % reducing in your accounts receivable bucket is what we have achieve with our every clients within the first month itself. So stop losing your money when you can easily get paid by partnering with us.
The global period isn’t a no pay zone; it’s just a set of rules that needs to be followed and with experienced billers, the task gets way easier. So, partner with us and hire a team that knows gynecology billing codes, modifiers needed and payers’ requirements effortlessly, and you’ll see a major jump in your monthly collections. If you’re tired of seeing global denials, it might be time to let the experts like us handle your RCM.