Outpatient Facility Coding Alert - 2011 Issue 12
Correct Coding Initiative: CCI Now Bars You From Reporting Alcohol and Tobacco Screening Codes With E/M Services
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Article Overview
This article explains a Correct Coding Initiative update and how it changes bundled code pair edits across evaluation and management services, substance abuse assessment and screening services, nerve block and device insertion procedures, and operating microscope-related procedure reporting. It is intended for coding professionals who need to understand updated CCI edit pairs, modifier indicator changes, and where to look for the current CMS reference materials.
Why This Topic Matters
CCI updates can change whether services may be reported together and whether a modifier can be used to separate edits. Staying current helps coders and billing staff review claim edits against the latest CMS guidance.
Article Sections
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New bundles
This section summarizes newly added Correct Coding Initiative edit pairs affecting evaluation and management services and related screening or assessment services.
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Modifier changes
This section discusses updates to modifier indicators for selected bundled procedure pairs and notes changes in whether edits can be separated.
What You Will Learn
- What the article covers in the latest Correct Coding Initiative update
- Which broad categories of services are affected by the new edit pairs
- How the article frames changes to modifier indicators
- Where the article points readers for current CMS CCI resources
Who Should Read This
- Professional coders
- Billing staff
- Compliance staff
- Revenue cycle teams
- Practice managers
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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