tci General Surgery Coding Alert - 2009 Issue 5

Learn When You Can Override CCI Edits, Legitimately

Get reimbursement for bundled codes in 3 simple steps. There are times when you can override Correct Coding Initiative (CCI) edits and achieve separate reimbursement for bundled codes. Follow these steps if you have distinct services: 1. Check the modifier indicator. Each CCI code pair edit includes a correct coding modifier indicator of "0" or "1." A "0" indicator means that you may not unbundle the edit combination under any circumstances, according to CCI guidelines. But an indicator of "1" means that you may use a modifier to override the edit if the procedures are separate and distinct...

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