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global imaging code

Billing Medicare Secondary When Global Imaging Code (74181) Was Paid by Primary Insurance: A Complete Guide to the CMS Anti-Markup Rule

October 3, 2026June 7, 2026
"Billed global? Medicare wants it split" banner on the anti-markup rule, with a magnifier and a claim split in two

Medical billing professionals who handle coordination of benefits claims frequently encounter a challenging scenario: a global imaging code such as CPT 74181 (MRI abdomen without contrast) was correctly billed and paid by a commercial primary insurer, but the claim must…

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