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Since we believe that this will result in expanded use of the transfer of care modifiers, which will have a corresponding effect on the payment for the affected services, we have reflected this in our utilization estimates accordingly (see download file for this proposed rule titled CY 2025 PFS final rule 2023 Utilization Data Crosswalked to 2025 at ) and anticipate more global surgical packages and post-op care to be billed separately using the modifiers, which could have payment consequences for a selection of high-volume global surgery codes

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