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it depends on several things. If you are billing for the facility then the facilty may always use an E&M for the facility charge as global does not apply to the facility and the dx code is V58.32.
If you are billing for the physician then it will depend on the payer determination of the global days for the repair. As of Jan 1 2011 many of the repair codes have been designated as having 0 global days which means you may charge a visit level for the suture removal again with a dx code of V58.32