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Per CMS NCCI Policy Manual Chapter IV effective January 1, 2026, the same-joint arthroscopy bundling restriction for CPT codes 20600 through 20611 is an absolute restriction with no modifier override

doi: 10.1136/ard.2010.140145

Seror P, Seror R

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Unfortunately, most hospitals have the policy that if you are not 20 weeks plus, you must be seen in the emergency room