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Gastroenterology Coding Alert

Reader Questions:

Here Come the Latest CCI Edits

Published on Tue Sep 21, 2010

Question: A coder in my practice is asking me a lot of questions about CCI Edits 16.3. What should we expect with the version 16.3, which recently came out?Alaska SubscriberAnswer: First, the basics. The National Correct Coding Initiative (CCI) edits contain a list of CPT or HCPCS Level II codes that are not separately payable, except under certain circumstances, when performed with certain procedures. The edits found in version 16.3 takes effect on Oct. 1, and will continue to be the rule until Dec. 31. This latest package contains a total of 19,667 additions (33 mutually exclusive edits; 19,634 non-mutually exclusive edits), and 31 deletions.As one who bills the claim, make sure you check the CCI edits when a physician provides more than one services for the same patient on the same date of service.Review: Two types of CCI edits exist. The first type -- mutually exclusive edits -- describes situations in [...]
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