Pathology/Lab Coding Alert

CCI 15.0:

Update Your Edit Pairs to Reflect CPT 2009

Hint: Many procedure bundles remain when code numbers change. CPT 2009 "moved" several codes from one section to another -- but that doesn't mean the National Correct Coding Initiative (CCI) lets you off the hook. For many existing procedure definitions that have a new code number, CCI 15.0, effective Jan. 1, removes edit pairs with the deleted code and adds pairs with the new code. Switch Codes for These Bundles When you bill for a bilirubin test, you have to pick a single code based on the lab method and specimen source. That's why CCI continues to bundle total bilirubin and transcutaneous bilirubin -- even though the codes have changed. Old edit pair: Prior CCI versions listed a mutually exclusive edit pair for 82247 (Bilirubin, total) with 88400 (Bilirubin, total, transcutaneous). New edit pair: Now that CPT 2009 deletes 88400, CCI 15.0 adds a new mutually exclusive edit pair for 82247 and [...]
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