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somebody asks and of course I jumped right on this because they said can an orthopedic surgeon and you know thats what I do so be paid for an injection which is a 206 one oh thats a large joint injection during a post-op global period if its the same body part and then alternatively what if its a different body part and they understand that pain management is inclusive with a global period so how would it be handled so were going to start off a little bit with descriptions of a global period so there is an excellent source there that is direct from Medicare its about a 1012 page booklet about global periods and I actually go there quite often when people have a question just pull information out of there now I know this is a Medicare guideline that its that I gave there however remember Medicare kind of sets the standards for everybody else we just did the one last week about consultations remember Medicare stopped doing consultations in 2010 and now were seeing just this year