Advanced Search

Radiology Coding Alert

CCI Update:

Find the Interventional Highlights Among 304,000 New Edits

Published on Sat Jun 13, 2009

CCI makes code only 1 dialysis fistula PTA rule official. With the hundreds of thousands of new edits Correct Coding Initiative (CCI) version 15.1 put into effect April 1, slapping modifier 59 on every claim is more tempting than ever. Careful: Many practices apply modifier 59 (Distinct procedural service) indiscriminately to bundled pairs to override the edits. But misusing modifier 59 this way is a serious compliance issue, leading to a high likelihood of audit and risking fraud charges, according to Frank Cohen, MPA, senior analyst with MIT Solutions Inc. in Clearwater, Fla., in his March 25, 2009, webinar NCCI Version 15.1 Update. Protect yourself and your practice by keeping an eye out for these edits andidentifying legitimate opportunities to override them. The Usual Suspects Take Center Stage CCI takes aim at a few select codes this round, with only 524 unique codes listed in column 2 of the new [...]
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

Radiology Coding Alert

View All