tci Outpatient Facility Coding Alert - 2012 Issue 3

Reader Question: Edits Apply for Both Inpatient and Outpatient Surgeries

Question: Are CCI edits applied the same way when we’re coding professional services for inpatient versus outpatient surgery? For example, are 38571 and 44180 are bundled into 51597 per CCI Edits regardless if the patient inpatient or outpatient?Minnesota Subscriber Answer: Yes, you are correct. Both hospitals and physicians now use the same version of CCI edits, so there is no material difference in how the edits are applied. Codes 38571 (Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy) and 44180 (Laparoscopy, surgical, enterolysis [freeing of intestinal adhesion] [separate procedure]) are bundled into 51597 (Pelvic exenteration, complete, for vesical...

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