Question: Codify Member Answer: A brief related history, exam, and medical decision making (MDM) is expected and required by the facility. It is therefore included with payment for the procedure. So in this case, where the doctor is checking necessity and contraindications related to the procedure, you shouldn't report the H&P separately. Additionally, 36475 has a 000 global period. According to the Medicare physician fee schedule, 000 means: "Endoscopic or minor procedure with related preoperative and postoperative relative values on the day of the procedure only included in the fee schedule payment amount; evaluation and management services on the day of the procedure generally not payable." For additional information on global period E/M services, including proper use of modifiers, see Medicare Claims Processing Manual, Chapter 12, Section 40.2.A.8: www.cms.gov/manuals/downloads/clm104c12.pdf.