Urology Coding Alert

CCI 15.3 Update:

Don't Expect Extra Pay for Moderate Sedation, Thanks to CCI 15.3

You'll now find 76000-76001 bundled with many urological procedures. The last quarterly update of Correct Coding Initiative (CCI) edits doesn't spare your urology coding. Make sure you're up to speed on the latest bundles so you don't rake in denials on claims involving conscious sedation and fluoroscopy. Put Moderate Sedation at the Top of Your Updates There are 18,320 new edits in the most recent version, 15.3, which took effect on Oct. 1, says Michael A. Ferragamo, MD, FACS, clinical assistant professor of urology at the State University of New York in Stony Brook. Roughly 80 percent of the new bundles relate to moderate sedation codes 99148-99150 (Moderate sedation services [other than those services described by codes 00100-01999], provided by a physician other than the health care professional performing the diagnostic or therapeutic service that the sedation supports ...), according to the Sept. 11 "NCCI 15.3 Update" news release by [...]
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

Urology Coding Alert

View All