Medicare Compliance & Reimbursement - 2016 Issue 11
Correct Coding Initiative: 2 CCI Updates You Should Know
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Article Overview
This piece explains two CCI-related updates that matter to coders working in cardiology and pathology. It summarizes a manual revision and quarterly edit changes, focusing on how the updates affect reporting considerations, bundled-service relationships, and related CPT coding areas. The article is aimed at coding professionals who track CCI/NCCI changes and want to understand which specialties and code families are affected.
Why This Topic Matters
CCI edits can change how services are grouped on claims, so staying current helps practices avoid denials and unsupported reporting. This article is especially relevant for cardiology and pathology teams working with quarterly update cycles and the associated CCI manual.
Article Sections
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Begin With a CCI Manual Background
Introduces the CCI manual and the update cycle that accompanies quarterly revisions. Provides general background on where changes appear and why coders monitor them.
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Cardiology: Abbreviated RHC With Biopsy Gets a Mention
Discusses a manual update affecting cardiology documentation and claim reporting in the setting of endomyocardial biopsy. The section focuses on the broader topic of right heart catheterization and related CCI guidance.
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Pathology: Beware Molecular Pathology Coding Restrictions
Reviews quarterly CCI edit changes affecting pathology molecular testing and related bundled services. Covers the general impact on reporting relationships across multiple molecular pathology code families.
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Let Genomic Codes Stand Alone
Describes additional quarterly edit changes involving genomic sequencing and multianalyte assay services. Also addresses broader relationships among molecular pathology, genomic testing, and interpretation reporting.
What You Will Learn
- How the CCI manual and quarterly update cycle are presented in the article
- Which broad cardiology scenario is affected by a manual update
- Which pathology code families are affected by new CCI edit pairs
- How the article frames restrictions involving genomic sequencing and multianalyte assay services
- What general documentation and claim review issues the updates raise for coders
Who Should Read This
- Medical coders
- Billing staff
- Pathology coding professionals
- Cardiology coding professionals
- Compliance and revenue cycle teams
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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