Medicare Compliance & Reimbursement - 2012 Issue 9
CCI 18.2: Rethink Your Hiatal/Diaphragmatic Hernia Coding Boundaries
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Article Overview
This article explains how the 18.2 CCI update changes bundling relationships across several CPT® sections, with emphasis on hernia repair, upper gastrointestinal endoscopy, abdominal add-on services, and catheter placement procedures. It is intended for coders, auditors, and billing professionals who need to review code relationships, edit pair patterns, and section boundaries as reflected in the update.
Why This Topic Matters
CCI updates can alter whether services are separately reportable or bundled together, so this article helps readers identify where coding relationships changed and which areas of CPT® are affected.
Article Sections
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Choose One Hernia Code
Covers CCI changes involving hiatal and diaphragmatic hernia repair code relationships and related section shifts within CPT®.
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Include Intubation and Aspiration
Discusses upper gastrointestinal endoscopy relationships and associated gastrointestinal intubation and aspiration edits.
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Distinguish Fiducial Marker, Catheter Location
Reviews edit changes involving fiducial marker placement, add-on laparoscopic abdominal services, and tunneled catheter procedures across multiple CPT® sections.
What You Will Learn
- How the CCI 18.2 update affects selected CPT® code relationships
- Which broad procedure families are affected by the new edit pairs
- How the article organizes hernia, endoscopy, abdominal add-on, and catheter-related guidance
- What kinds of CCI changes are being highlighted for review and compliance
Who Should Read This
- Medical coders
- Coding auditors
- Billing staff
- Compliance personnel
- Revenue cycle professionals
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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