decisionhealth Newsletters, Coder Pink Sheets - 2018 Issue 1 (January)
New coding guidance: Take note of unit-of-service and bilateral reporting, says 2018 CCI manual
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Article Overview
This article summarizes changes and clarifications in the 2018 Correct Coding Initiative policy manual that affect reporting of services under CPT and Medicare payment policy. It is aimed at coders, billers, and compliance professionals who need a general understanding of unit-of-service rules, bilateral procedure indicators, and related reporting considerations without relying on the premium article for interpretation.
Why This Topic Matters
The guidance helps readers understand how CMS-related coding policy updates may affect reporting practices, compliance, and claim setup for services with special unit or bilateral treatment. It is especially relevant for practices that handle procedures affected by CPT wording, bilateral indicators, and related edit concepts.
Article Sections
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Unit-of-service guidance
Overview of revised policy manual language addressing how service units are determined for certain CPT-described procedures and procedure families.
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Details added for bilateral services
Summary of updated bilateral-service guidance, including how the manual discusses bilateral indicators, related edits, and reporting considerations.
What You Will Learn
- What the 2018 CCI policy manual updates cover at a high level
- How the article frames unit-of-service reporting topics
- What broad bilateral-reporting concepts are discussed
- How CMS policy references and edit concepts relate to reporting guidance
Who Should Read This
- Medical coders
- Billing staff
- Compliance professionals
- Practice managers
- Revenue cycle teams
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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