tci Part B Insider - 2015 Issue 19

Correct Coding Initiative: New Coding Edits Could Impact Your Tonsillectomy Claims

Tip: Scrutinize descriptor details to know what you can’t submit together. The latest Correct Coding Initiative (CCI) edits are worth paying attention to because they focus on some very common procedures: tonsillectomies and adenoidectomies. Start With Understanding the Procedures Tonsillectomy – completely removing the tonsil, including its capsule – is one of the most common surgical procedures in the U.S. Surgeons might also remove the patient’s adenoids at the same time, especially in relation to sleep-disordered breathing. Stand-alone adenoidectomies have increased in frequency in recent years as a method of helping children who have middle ear...

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