Advanced Search

Pediatric Coding Alert

You Be the Coder:

Know Exclusive, Unlikely for CCI Edit Success

Published on Wed Jun 20, 2018

Question: What is the difference between mutually exclusive edits, and medically unlikely edits? Colorado Subscriber Answer: Though they may sound similar on the surface, the National Correct Coding Initiative (NCCI, or sometimes just CCI) identifies them as completely different kinds of edits. The Centers for Medicare and Medicaid Services (CMS) defines NCCI Procedure-to-Procedure (PTP) code pair edits — Column 1 [...]
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 Revenue Cycle Insider
  • 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

Other Articles in this issue of

Pediatric Coding Alert

View All