tci Part B Insider - 2016 Issue 20

Part B Coding Coach: General Surgery: Some CCI Edits Can Cause Trouble

Be aware of modifier 59 as an option to help navigate the changes. When your general surgeon reports multiple CPT® codes for a patient’s case, you always need to steer clear of any limitations imposed by the Correct Coding Initiative (CCI) edits. As of April 1, you’ve had even more edit pairs to avoid, since CCI 22.1 went into effect. Read on to get expert advice about which code pairs you need to watch out for. Look for Skin Procedure Pairs You now have dozens of excision and repair codes bundled into CPT® code +14302 (Adjacent...

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Keep pace with evolving Medicare regulations with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI’s Part B Insider will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, the fee schedule, OIG target areas, and more.

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