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The commenters stated that the procedures are primary interventions, not add-ons, and that the current global periods, inpatient days, and intraservice work descriptions accurately reflect the complexity of adult deformity surgery

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and office and other outpatient visits for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional

Unstructured data consisted of narrative diagnostic details, free-text discharge notes, and other non-coded information