E/M Coding Alert - 2005 Issue 23
NCCI 11.2 SPECIAL REPORT: Total Omentectomy Code Totally Surrounded With Edits
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Article Overview
This report explains how NCCI version 11.2 expands edit relationships across a range of surgical and procedural CPT and Category III codes. It is aimed at coders and billing professionals who need to understand which code families are affected, where modifier bypass may or may not apply, and how the update relates to prior NCCI changes.
Why This Topic Matters
The update affects many high-use procedure families and can change whether services are separately reportable or bundled. Understanding the scope of the edits helps coding staff review claims and avoid denials after the NCCI revision.
Article Sections
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Overview of NCCI 11.2 changes
Introduces the update and explains that it adds to earlier National Correct Coding Initiative edits. The section frames the overall scope of the affected procedure groups.
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Gynecologic and female genital surgery edits
Covers edits affecting gynecologic surgery, uterine procedures, and related female genital surgery codes. The section also notes where modifier override may not apply.
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Additional surgical edit groups
Summarizes edits involving anesthesia, transcatheter stent placement, flexible colonoscopy, adrenalectomy, laryngoscopy, nephrectomy, bariatric surgery, imaging, catheterization, and related procedures. The section highlights the broad procedural categories affected by the update.
What You Will Learn
- Which broad procedure families were expanded by the NCCI 11.2 update
- How the article groups edits by specialty and procedure type
- Where the article indicates modifier override may be limited or unavailable
- How earlier NCCI revisions relate to the new edit set
Who Should Read This
- Professional coders
- Hospital coding staff
- Physician practice billers
- Ob-Gyn coding specialists
- Outpatient surgery coders
Codes Discussed
Code Ranges Discussed
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