Correct Coding Initiative: Check Out the Latest CCI Edits That Could Halt Your Claims

Why This Topic Matters

CCI edits can cause claim denials or payment delays, especially when new CPT codes are introduced or when edits are later removed retroactively. Understanding the scope and timing of these updates helps practices avoid avoidable claim processing issues and monitor relevant code pairings.

Article Sections

1. Can You Be Paid For Interprofessional Consults? CCI Says No

   Discusses CCI edits affecting new interprofessional consultation services and related E/M service pairings. Also notes the article’s example of claim handling for these services.

2. Nail Down New Stent Coding Rules

   Summarizes upcoming deletions of cardiology-related CCI edits involving new stent placement services. Covers the context for the edits and the planned effective timing.

3. Add 37238/+37239 to Your Watch List, Too

   Continues the cardiology discussion with the second stent-related edit pair slated for deletion. Explains that the issue is similar to the earlier stent edit discussed in the article.

4. Decide How to Handle Claims Until Deletion

   Addresses interim claim-processing considerations before the deletions become effective. Mentions practical workflow options and the timing of the CCI update.