tci Part B Insider - 2003 Issue 9

CORRECT CODING INITIATIVE: CMS Reverses CCI Edits for TEE

When the doors of reimbursement close on a procedure you perform regularly, don't despair. Sometimes those doors can swing open again. Beginning July 1, Medicare will again reimburse anesthesiologists for some transesophageal echocardiography (TEE) procedures performed during an anesthetic. The change reverses the National Correct Coding Initiative edits implemented April 1, which changed the status indicators for most TEE procedure codes and kept anesthesiologists from appending modifier -59 (Distinct procedural service) to receive payment for services. According to a letter from the Centers for Medicare & Medicaid Services to the American Society of Anesthesiologists, the next generation of CCI...

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