General Surgery Coding Alert

CCI 15.3 Update:

Navigate Guidance and Sedation Edits Quickly With This Rundown

Rethink separate charge for fluoroscopy Don't stay in the dark about Medicare's latest surgical bundles or you might face denials when your surgeon performs aneurysm repair and AV fistula revision together. Version 15.3 is the last Correct Coding Initiative (CCI) update of the year -- but that didn't stop CMS from adding over 16,000 edit pairs to the surgery section. Don't panic: That's a lot of code bundles, but our experts have distilled all those restrictions into four categories you need to know to avoid pitfalls for your surgery practice. 1. Check Edits Before Billing Conscious Sedation CCI 15.3 bundles moderate sedation codes 99148-+99150 (Moderate sedation services [other than those services described by codes 00100-01999], provided by a physician other than the health care professional performing the diagnostic or therapeutic service that the sedation supports ...) with just about every surgical procedure code your surgeon might use. In fact, roughly 80 [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more