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Neurology & Pain Management Coding Alert

CCI Update:

New CCI Edits Reverse 'No-Go' Status of Injections With Some Vascular Procedures

Published on Thu Oct 13, 2011

Hint: Visit 'deleted edits' section for updates to paravertebral facet joint injections. The latest edition of Correct Coding Initiative (CCI) edits, effective Oct. 1, holds some nice surprises for neurology and pain management coders. Instead of being saddled with additional edits that restrict your claims filing, most pairs related to neurology or pain management actually fall under the "deleted edits" category. "For the terminated pairs, 218 were retroactively terminated back to the last quarter release and one back to January 1, 2010," says Frank Cohen, MPA, MBB, principal and senior analyst with The Frank Cohen Group, LLC, in Clearwater, Fl. "This means that, if you were denied payment due to these edit pairs in the past, you would likely be able to resubmit the claim for payment at this time." Check Deletions for Injection/ Vascular Procedure BundlesTerminated bundles affect three groups of procedures performed by neurologists or pain management specialists: [...]
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