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Oncology & Hematology Coding Alert

CCI Update:

96446 Joins the CCI Club With Dozens of New Edits

Published on Tue Jan 11, 2011

Watch out: E/M bundles don't always place 96446 in column 1. January means new CPT codes and, inevitably, new Correct Coding Initiative (CCI) physician edits from CMS for those codes. CCI version 17.0 is effective Jan. 1, 2011, for physicians. For this version, "19,822 new edit pairs have been added to the database while 9,778 have been terminated, for a net gain of 10,044 new edit pairs," according to Frank Cohen, MPA, MBB, of the Frank Cohen Group, in his Dec. 14, 2010, "NCCI Version 17.0 Change Analysis" announcement. The main edits you want to be sure to watch for are those related to new code 96446 (Chemotherapy administration to the peritoneal cavity via indwelling port or catheter). Note Where 96446 Falls (Col. 1/Col. 2) for NME Edits The 96446 non-mutually exclusive (NME) edits are largely what you would expect based on other chemotherapy code edits -- bundles with E/M, anesthesia, [...]
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