CCI: Now No Modifier Can Separate 90865/90807 Bundle, CCI Says

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Note:  The following article synopsis was NOT provided by AAPC. It was created by Find-A-Code/innoviHealth.

Article Overview

This article covers a Correct Coding Initiative update that changes whether certain code pairs can be separated with modifiers under Medicare claims processing. It is aimed at coders, billers, and compliance staff who work with psychotherapy, conscious sedation, and other bundled services and need to stay current on CCI edit changes.

Why This Topic Matters

CCI edits can affect claim submission, payment outcomes, and whether a modifier can be used to report services separately. Understanding these update changes helps billing teams avoid denials and follow current Medicare coding policy.

What You Will Learn

  • How a CCI update can change bundled code pair reporting
  • Which broad service categories are affected by modifier-related edit changes
  • Why CCI edit updates matter for Medicare claims processing
  • How psychotherapy and conscious sedation coding are discussed in the context of bundle edits

Who Should Read This

  • Medical coders
  • Medical billers
  • Compliance staff
  • Revenue cycle professionals
  • Practice managers

Codes Discussed

Code Ranges Discussed


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