tci E/M Coding Alert - 2013 Issue 8

Correct Coding Initiative: Facing New Modifier 25 Denials? CCI 19.3 Implementation Errors May Be at Fault

You’ll have three options for recouping your reimbursement. The newest update to the Correct Coding Initiative (CCI), version 19.2 that went into effect July 1, 2013, bundled most E/M codes with many procedures, such as catheterization and EKGs. As if learning the quarterly bundling edits and implementing the changes into your coding wasn’t enough, an error in some payers’ systems has led to many unwarranted denials in the past few months. Read on to find out what CMS is saying about denials relating to CCI 19.2 and modifier 25 (Significant, separately identifiable evaluation and management...

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