Inside CCI: Multiple codes on same shoulder now bundled; E/M included in 0-day global codes

Why This Topic Matters

The policy changes described here affect how coders determine whether multiple services may be reported together or separately. It is relevant for avoiding claim denials and staying aligned with current NCCI and Medicare guidance.

Article Sections

1. Shoulder procedure bundling

   Discusses updated CCI guidance affecting procedures on the shoulder joint and the circumstances in which separate reporting may be limited. The section also notes related arthroscopy policy changes.

2. Closed treatment of multiple fractures

   Covers new CCI guidance addressing reporting when multiple closed fractures are treated without manipulation. It explains the broader category of fracture care affected by the policy.

3. CCI clarifies E/M bundling policy

   Reviews updated language on evaluation and management services performed on the same date as minor surgical procedures and how global period concepts are addressed. It also discusses postoperative and unrelated visit scenarios at a high level.

4. Other important manual changes

   Summarizes additional policy updates involving digit-related modifiers, knee arthroscopy-related reporting, bone marrow harvest with spine procedures, surgical wound closure in the global package, and add-on code table changes.