Question: New Mexico Subscriber Answer: Option: If this service involves the removal of the nasal packing placed by the same physician during the performance of a treatment of a nasal bone fracture, the removal of the nasal packing is part of the 90-day global services. This means the removal is part of the initial service, and follows the same principle as a suture removal: if the same doctor placed the sutures, he cannot bill for the removal. Thus, if the doctor put in the nasal packing, he cannot bill for the removal.