tci ED Coding & Reimbursement Alert - 2013 Issue 1

Brush Up on Your NCCI Modifiers

You will recall from prior Emergency Department Coding & Reimbursement Alert updates that each NCCI edit has a modifier indicator of 0, 1, or 9. Refresh your modifier know-how with this quick list: A modifier indicator of 0 indicates that an edit should never be bypassed even if an NCCI-associated modifier is utilized on the claim. That means the column two code of the edit must be denied. A modifier indicator of 1 indicates that an edit may be bypassed if an appropriate NCCI-associated modifier is appended to the column one and/or column two code on an NCCI edit...

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