AHA Coding Clinic® for HCPCS - 2001 Issue 2

Correct coding initiative (CCI) edits

The Correct Coding Initiative (CCI) was developed to control improper coding which leads to an inappropriate increase of payment in Part B claims. To encourage correct coding, policies were developed by the National Correct Coding Council based on coding conventions defined in CPT, national and local policies and edits, coding guidelines developed by national societies, the analysis of standard medical and surgical practice and the review of current coding practices. Computerized edits were already included within the claims processing system of most Medicare carriers. Many of these edits were designed to detect “fragmentation,” or separate coding of...

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