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Neurology & Pain Management Coding Alert

CCI 17.0:

64611 Is the Reportable Code for Many Pairs in Newest CCI Edits

Published on Tue Jan 18, 2011

Plus: Add TPIs, arthrocentesis, and more to the 'no with fluoro' camp.One look at the newest Correct Coding Initiative edits clarifies that you shouldn't typically report the new wheeze measurement Category III codes with sleep studies or fluoroscopic guidance with many common injection procedures. CCI 17.0 went into effect Jan. 1, 2011, so read on for some important updates.Check Out 0243T, 0244T Edits with Sleep StudiesNon-mutually exclusive edits apply to services that a physician might perform during the same care session but that aren't billable together. This is because one of the codes (the Column 2 or component code) is included in the services represented by the Column 1 (comprehensive) code of the pairing. You can bill individual components if the physician does not perform the entire comprehensive procedure. But if the physician performs the entire (comprehensive) procedure, you should bill the comprehensive code instead of the individual parts or [...]
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