decisionhealth Newsletters, Part B News - 2015 Issue 2 (February)
CCI: Adopt new rules for allergy tests and other services to avoid denials
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Article Overview
This article explains selected annual National Correct Coding Initiative (CCI) Policy Manual updates for Medicare services. It is aimed at coders, billers, and reimbursement staff who need to stay current on policy changes affecting allergy testing and immunotherapy, fracture care, psychiatric services, endoscopy-related reporting, and audiologic testing. The discussion focuses on broad compliance guidance, affected service categories, and the kinds of billing scenarios the updated policy manual addresses.
Why This Topic Matters
The updates discussed can affect whether claims process cleanly or deny, so understanding the article helps billing teams reduce avoidable rejections and keep reporting aligned with current Medicare coding policy.
Article Sections
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Watch allergy reporting on same date, potency
Covers updated policy guidance for allergy testing and immunotherapy, including same-day reporting issues and testing-related considerations tied to these services.
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Guidance for multiple closed fractures
Summarizes policy guidance for multiple closed fracture treatment and the treatment of injuries in a shared cast or splint coverage area.
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Clear up psych code confusion
Addresses policy changes affecting psychotherapy and family psychotherapy reporting on the same date of service.
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Follow dos and don’ts for modifier 52
Reviews reporting guidance involving endoscopy-related services, reduced-service reporting, and audiologic testing.
What You Will Learn
- Which service categories are affected by the cited CCI policy updates
- How the article frames same-day reporting concerns across multiple specialties
- What kinds of claim combinations the article says are being reviewed by CCI guidance
- How modifier-related reporting issues are discussed in the context of reduced services
- Which general Medicare coding topics are emphasized for denial prevention
Who Should Read This
- Medical coders
- Billing specialists
- Revenue cycle staff
- Compliance teams
- Physician practice administrators
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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