NCCI Code Pair Edits Need Correction
- By admin aapc
- In CMS
- January 30, 2009
- Comments Off on NCCI Code Pair Edits Need Correction
The Centers for Medicare & Medicaid Services (CMS) has identified nine National Correct Coding Initiative (NCCI) code pair edits that were erroneously included in the integrated outpatient code editor (I/OCE) version 10.0 with an implementation date of Jan. 5.
According to a First Coast Service Options, Inc. report, the following code pair edits should have been marked excluded in the latest I/OCE:
Code pair edits |
Modifiers |
|
|---|---|---|
|
Column 1
|
Column 2
|
Modifier indicator
|
|
*90801
|
90802
|
0
|
|
*90801
|
96116
|
0
|
|
*90802
|
96116
|
0
|
|
**96101
|
96102
|
1
|
|
**96101
|
96103
|
1
|
|
**96102
|
96103
|
1
|
|
**96118
|
96119
|
1
|
|
**96118
|
96120
|
1
|
|
**96119
|
96120
|
1
|
* Claims with CPT® code combinations listed with a “0” modifier indicator will be held in location S/MSPRD.
** Claims with CPT® code combinations listed with a “1” modifier indicator will be held in location S/MSPRD. However, modifier 59 Distinct procedural service will be added to these code combinations.
Affected claims will be held until successful installation of the April 2009 I/OCE.
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Can someone please tell me where can I find the official CMS’ document of this update? I am hitting the “report” link and it does not work.