Medicare and most other payers consider the amount paid for a procedural service inclusive of all related work by the performing physician and any physician of the same group practice and same specialty. Most payers follow the Medicare Physician Fee Schedule (MPFS) methodology and put procedures into 1 of 3 categories based on the number of days after the date of the procedure that are considered the global period—0, 10, or 90 days. Each category of procedures includes related work, as shown in the Table. The global period assigned to each service can be found in the current MPFS at https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched.

The surgical package definition in Current Procedural Terminology (CPT®) differs from that of Medicare. CPT directs that each surgical procedure code includes

Medicare states an E/M code may be reported on the same day as a minor surgical procedure only when a significant, separately identifiable...

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