E/M included in 0-, 10-day global codes; add modifier 24 when visit is unrelated

Why This Topic Matters

The update affects whether certain services can be billed separately, how bundling edits are interpreted, and which claims are subject to modifier restrictions. Understanding these changes helps billing staff and compliance reviewers reduce denials and follow current CCI policy.

Article Sections

1. Correct Coding Policy

   Introduces the policy update and frames the discussion around National Correct Coding Initiative bundling changes affecting outpatient and preventive services.

2. New code pairs bundle E/M with vaccine admin, add new TCM edits

   Summarizes new bundling edits involving evaluation and management services, vaccine administration, and transitional care management. The section also notes associated modifier indicator changes and related groups of codes.

3. TCM codes include phone services, training

   Describes the transitional care management edit update and the broader categories of services grouped with those codes. It also references additional bundling involving end-stage renal disease-related code ranges.