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Thread: 76937 and 77001 being bundled?

  1. #1
    Join Date
    Apr 2007
    Dallas, GA

    Default 76937 and 77001 being bundled?

    AAPC: Back to School
    Has anyone else heard anything about 76937 and 77001 being bundled? We do not have our April 2011 CCI edits disc yet. I came across this article the other day but I have not found any additional information about this….Any thoughts?


    Per the ACR...
    National Correct Coding Initiative
    The ACR and the SIR submitted a joint letter to NCCI on February 8, appealing
    active edit 76937 / 77001 (Ultrasound guidance for vascular access / fluoroscopic
    guidance for central venous access device…). We feel that the edit, even with
    modifier allowance, is not appropriate, and that both ultrasound guidance and
    fluoroscopic guidance serves its own purpose in allowing for safe placement of
    venous access in patients. Additionally, we stressed the fact that there is no
    duplication of practice expense when the codes are reported together, based on
    RUC valuations. Our societies first commented on these edits in November 2010
    when they were initially proposed for implementation, but our recommendation
    was not accepted by CMS. The edits were implemented January 1, 2011 in
    Version 17.0. We are still awaiting a response from CMS regarding this issue.
    Version 17.1 of the NCCI files, to be published April 1, 2011, will include
    corrections to forty active edits. The edits were implemented incorrectly on
    January 1, 2011. The correction is made to rectify an error by CMS in
    implementing the edits without allowing the use of a modifier to bypass the edit.
    A more detailed article is available in the January/February 2011 ACR Radiology
    Coding Source.
    The ACR also submitted comment to NCCI regarding four different batches of
    NCCI edits proposed for implementation July 1, 2011. Due to confidentiality
    issues, and pending a response from CMS, no additional information may be
    To view the most current file of NCCI edits, please visit:
    Local Coverage Determination (LCD) Update
    ACR staff reviewed five draft local coverage determinations (LCDs) in February.

    Christy, CPC
    Last edited by chembree; 04-11-2011 at 12:46 PM.

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