Advanced Search

Pathology/Lab Coding Alert

CCI 17.0:

87501-87502 Bundles Could Cramp Your Molecular Diagnostics Pay

Published on Fri Jan 14, 2011

Look for ISH bundling limits, too. Think you're ready to use all those brand new CPT lab codes? Not so fast. You better learn Correct Coding Initiative (CCI) restrictions first, before you start billing Medicare for services using new 2011 codes. CMS released CCI version 17.0, effective Jan. 1, revealing 19,822 new active pairs and 9,778 code pair deletions, according to Frank D. Cohen, MPA, MBB, senior analyst with Frank Cohen Group, LLC. Many of the new code pair additions take aim at CPT codes that debut on Jan. 1, with CCI getting ready to halt payment if you report certain procedures together. Let our experts walk you through the edits that could make billing for some code pairings difficult for your lab. Influenza Typing and HIV Integrase Stand Alone CCI 17.0 creates a large number of new edit pairs involving the following new CPT 2011 codes: 87501 -- Infectious agent [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Pathology/Lab Coding Alert

View All