CMS changes modifier 24 rules: E/Ms now bundled with 0-, 10-day global codes

Subscribe or sign in to view the full article.

Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article reviews Medicare coding guidance changes issued through the National Correct Coding Initiative Policy Manual and related CMS transmittal material. It is aimed at coders, billers, compliance staff, and clinicians who need to understand how the updated guidance affects reporting of evaluation and management services, certain screening and counseling services, emergency cardiac services, and CPT add-on code relationships. The discussion focuses on broad policy changes, grouping of add-on code types, and the kinds of services affected.

Why This Topic Matters

The update affects when services can be reported separately and when they are considered bundled, which can influence claim accuracy, compliance, and payment integrity. It is especially relevant for practices that bill minor procedures, global surgical services, behavioral screening, emergency medicine services, and add-on procedure codes.

Article Sections

  1. Bundling of E/M services with minor procedures and global periods

    Overview of how the updated policy addresses same-day evaluation and management services in connection with minor procedures and short global periods. The section also discusses related global-period considerations for post-operative encounters.

  2. Other important manual changes

    Summary of additional policy areas covered in the manual update, including screening and counseling services, emergency cardiac services, and add-on code categories. The section also notes CMS instructions affecting contractor policy development and implementation timing.

What You Will Learn

  • How the article frames recent CMS and CCI policy changes affecting separate reporting
  • Which broad service categories are discussed in the updated manual guidance
  • How add-on code policy is organized into different types
  • What areas of Medicare coding practice may be affected by the changes

Who Should Read This

  • Medical coders
  • Billing staff
  • Compliance professionals
  • Physicians and other qualified health care professionals
  • Practice managers

Codes Discussed

Code Ranges Discussed

Modifiers Discussed


Subscribe or sign in to view the full article.

Official DecisionHealth® Newsletter Archives includes:

  • Includes over 25,000 articles from:
    • Coder Pink Sheets
    • Part B News
    • Answer Books newsletters
  • Current newsletters added each quarter
  • Timely news and guidance vital for your practice
  • Fully searchable through Find-A-Code's Comprehensive Search
  • Codes mentioned in articles are linked to the Find-A-Code Code Information pages
  • Code Information pages link back to related articles
  • Save yourself tons of research time, find everything in one place!
Access to this feature is available in the following products:
  • DecisionHealth Coding, Billing and Compliance Library

Related Articles

Articles are listed in order of calculated relevance.

demo
request yours today
subscribe
start today
newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.

Aimee- AI -powered coding assistant - Try it now for Free Would you like Aimee - AI
to help you with this?