New coding guidance: Deleted edit pairs impact pain procedures performed in the physician office, ASC

Why This Topic Matters

These edit updates can change how claims are reviewed and may affect whether services are reported together or flagged for bundling. Staying current helps billing teams recognize where CCI changes apply and reduce unnecessary edits or claim delays.

Article Sections

1. CCI 23.2 deleted edit pairs affecting pain procedures

   Covers the edit changes tied to pain management and injection-related services in the latest CCI update. The section highlights the general impact on physician office and ASC billing workflows.

2. Deleted pairs involving therapy evaluations

   Summarizes removal of edit pairs affecting physical therapy and occupational therapy evaluation services. The section places these changes in the context of outpatient billing and edit management.

3. New bundled pairings for selected services

   Describes additional bundled edits involving anesthesia, moderate sedation, prolonged services, cognitive assessment, and telehealth consult services. The focus is on identifying the broader service categories affected by the update.