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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%

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New or worsening neurological symptoms (such as progressive numbness, ataxia, or significant cognitive changes) warrant urgent assessment and should not be ignored, as delayed treatment may result in permanent nerve damage