tci Medicare Compliance & Reimbursement - 2009 Issue 6

PART B MYTHBUSTERS: Just Because CCI Doesn't 'Bundle' Procedures Doesn't Mean You Can Always Bill Them Together

Even if CCI doesn't publish edits bundling two procedures together, your practice should know which are separately billable. Myth: If the Correct Coding Initiative (CCI) doesn't bundle two procedures, then you are always free to report them together.Reality: The CCI edits don't address every potential coding situation -- you must report only the applicable and most accurate code(s) for your physician's documentation, experts say.Turn To Your CCI Manual "The CCI manual (in its introduction) specifically acknowledges that edits were not created to address every situation involving improper unbundling, but that this fact does not absolve the practice...

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