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CCI edits for 93312

  1. #1
    Modesto, CA; Central Valley Chapter
    Default CCI edits for 93312
    Medical Coding Books

    CCI edits bundle 93312 into 00562. I am trying to find information as to when a modifier would be appropriate.

    Does anyone have experience with this?

    Tina Reich, CPC, CPC-I, CEMC

  2. #2
    I have attached the NCCI Web Page overview. Within Anesthesia Chapter 2 (see bottom of Page 8) it states that TEE for diagnostic purposes (93312) with formal report, is separately payable. If you add the -59 modifier, which is appropriate per NCCI instruction, it will be paid.
    We bill the -59 modifier and -26 modifier for "professional component" only - 93312-2659

    This billing instruction is applicable to diagnostic TEE with all ASA codes, not just 00562.

    Julie, CPC
    Last edited by jdrueppel; 10-13-2008 at 09:26 PM.

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