tci General Surgery Coding Alert - 2011 Issue 1

Reader Questions: Explore CCI, Fee Schedule for Modifier Details

Question:We sometimes get denials that appear to be related to bundling issues but I can't find the two-code pair in the CCI edits. How can I find out which is the column 2 code so that I can put the modifier on the correct code?Texas SubscriberAnswer: If you can't find the codes listed in the Correct Coding Initiative (CCI) edit tables, then they're not bundled under that system. Make sure you check both the mutually exclusive and non-mutually exclusive edit tables.If your code pair is not bundled under CCI, then you would not need a CCI modifier such...

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