tci E/M Coding Alert - 2013 Issue 5

Reader Question: Check for Bundling Before Attaching Modifier

Question: Sometimes I cannot find the two codes I intend to bill in the CCI edits. How do I know which code would be considered a column 1 code, and which would be considered a column 2 code, which requires a modifier? Supercoder.com/Forum Answer: If the codes are not listed in the Correct Coding Initiative (CCI), the codes are not bundled. You would not need a modifier to override a non-existent edit. If the codes are not listed in CCI, simply report them as you normally would without a bundle-breaking modifier. A private payer could have their own...

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