decisionhealth Newsletters, Part B News - 2021 Issue 7 (July)
Reminder: Relaxed NCCI edits have been retired; code accordingly
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Article Overview
This short coding update is for professionals who bill outpatient evaluation and management services alongside trigger point injection services. It summarizes a temporary Medicare/NCCI policy change in 2020, notes its later reversal, and explains the article’s relevance to correct claim reporting and modifier review.
Why This Topic Matters
The article helps coders and billing staff understand that a temporary relaxation of NCCI edits was not permanent. It matters because same-day reporting of office visits with procedure services can be affected by current edit status and modifier use.
What You Will Learn
- The article’s scope and timing of a temporary Medicare/NCCI change
- How the update relates to same-day evaluation and management and trigger point injection billing
- Why policy reversals matter for current coding workflow and claim review
- The general role of modifier review when services occur on the same day
Who Should Read This
- Medical coders
- Billing staff
- Compliance staff
- Physician office personnel
- Revenue cycle professionals
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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