Archive for the ‘CCI’ Category

The July update to the Correct Coding Initiative (CCI) corrects a bundling error discovered in the April update, reports Coding News.

A bundling error in version 15.1 applied CPT® code 64550 Application of surface [transcutaneous] neurostimulator into hundreds of other procedures. Version 15.2, effective July 1, only bundles 64550 into several anesthesia codes.

Also in version 15.2 you will find bundled into most of the radiology codes and some of the echocardiography codes add-on code 96376 Therapeutic, prophylactic, or diagnostic injection; each additional sequential intravenous push of the same substance/drug provided in a facility.

CCI 15.2 contains six mutually exclusive edits bundling general eye service codes 92002 Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; intermediate, new patient, 92012 Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visits, and 92014 Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient into special eye service codes 92018 Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; complete and 92019 Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; limited. You cannot use a modifier to separate these codes.

You can, however, use a modifier to separate 92018 and 92019 from their bundling with most eye surgery codes.

For more information, read “CCI 15.2 Retracts Neurostimulator Edits From 15.1” on the Coding News Web site (registration required).

The Centers for Medicare & Medicaid Services (CMS) released the July 2009 Integrated Outpatient Code Editor (I/OCE) Specifications, version 10.2. This quarter’s update hosts a number of noteworthy changes that go into effect July 1. Read more »

The Centers for Medicare & Medicaid Services (CMS) has identified nine National Correct Coding Initiative (NCCI) code pair edits that were erroneously included in the integrated outpatient code editor (I/OCE) version 10.0 with an implementation date of Jan. 5.

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