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Radiology Coding Alert

CCI Update:

Factor These 5 Tips Into Your Correct Coding Initiative 18.2 Plan

Published on Mon Aug 06, 2012

Dig into the reason for PET + CT before choosing your codes. Love them or hate them, Correct Coding Initiative (CCI) edits can help identify codes that don't belong on your claim. Version 18.2 became effective for physicians July 1, 2012, and brings a variety of changes for both diagnostic and interventional services. Here are the highlights, including the rationale behind each edit to help you apply the bundles with ease. 1. Check Medical Necessity Before Reporting CT With PET The edit: CCI 18.2 adds these edits: Column 1: 78811-78813, Positron emission tomography (PET) imaging ... Column 2: 74176, Computed tomography, abdomen and pelvis; without contrast material. Modifier indicator: These edits have a modifier indicator of 1, so you may override the edits with an appropriate modifier when circumstances allow (see the Tip below). Edit rationale: The reason for the edits is "Misuse of Column 2 code with Column 1 [...]
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