R 418.10401 Global surgical procedure; services included.

Rule 401. (1) The surgical procedures in the CPT code set as adopted in R 418.10107 always include the following list of specific services in addition to the surgical procedure. (a) Local infiltration, metacarpal/metatarsal/digital block or topical anesthesia. (b) Subsequent to the decision for surgery, 1 related evaluation and management encounter on the date immediately prior to or on the date of the procedure is included. However, when an initial evaluation and management encounter occurs and a decision for surgery is made at that encounter, the evaluation and management service is payable in addition to the surgical procedure. (c) Immediate postoperative care, including dictating operative notes, talking with the family and other physicians. (d) Writing postoperative surgical orders in the patient's chart and dictating an operative report. (e) Evaluating the patient in the postanesthesia recovery area. (f) Typical, routine, normal postoperative follow-up care, including suture removal, during the global period. The global period or follow-up days shall be provided separate from the rules on the agency website, www.michigan.gov/wca. (2) Intra-operative procedures required to perform the surgical service shall not be billed separately.