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Neurosurgery Coding Alert

CCI 15.3 hammers moderate sedation reporting, nixes IDET edits

Published on Tue Oct 20, 2009

Also: Pay special attention to switched pairs so you'll submit the right codes. The latest Correct Coding Initiative (CCI) edits bundle moderate sedation with hundreds of procedures and follow up on Medicare's stance regarding intradiscal electrothermal (IDET) annuloplasty. CCI 15.3 went into effect Oct. 1 and includes thousands of new, swapped, and terminated code pairs you need to implement in order to get correct reimbursement. New Edits Will Have You Watching Moderate Sedation CCI 15.3 includes 18,320 new edit pairs, according to a summary report by Frank Cohen, PA, of MIT Solutions Inc. in Clearwater, Fla. "The overwhelming majority have a modifier indicator of '0', meaning you cannot use a modifier even if you think it is appropriate," Cohen stated in a press release. The most common codes being paired in new edits are for moderate sedation: • 99148 -- Moderate sedation services (other than those services described by codes 00100-01999), [...]
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