tci Outpatient Facility Coding Alert - 2017 Issue 6

Reader Question: Don't Miss the New CCI Edits for Vaginal Mesh

Question: We’re seeing more denials than usual for procedures involving vaginal mesh. What’s going on? Answer: If surgeons in your ASC or HOPD perform gynecological procedures, you’ve had some CCI edits to contend with since Jan. 1, 2017. However, many facilities have missed these edits and are seeing denials and delays, remarked Amy C. Pritchett, BSHA, CPC, CPC-I, CANPC, CASCC, CEDC, CASCC, CRC, CCS, CDMP, CMPM, ICDCT-CM, ICDCT-PCS, CMRS, C-AHI, who spoke at the American Academy of Professional Coders’ recent Healthcon in Las Vegas, Nevada. The vaginal mesh add-on code +57267 is now bundled into the...

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