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Buried in it is a provision CMS describes as "accounting for overlap between stand-alone E/M visits and global periods." In practice, here's the proposal: when a physician (or another physician in the same practice) bills a separately identifiable office/outpatient E/M visit on the same day as a procedure carrying a 0-, 10-, or 90-day global period, the most expensive service would be paid at 100%, and the other would be paid at 50%