tci Part B Insider - 2004 Issue 21

NEW CCI EDITS: New Septal Defect Repair Edits Make 95380-95381 More Confusing

Observation care,swallowing test interpretation also hit hard The Centers forMedicare & Medicaid Services introduced two new codes for repair of septal defect in 2003: 93580 (for closure of a congenital interatrial communiation) and CPT 93581 (for closure of a congenital ventricular septal defect with implant). Now CCI 10.2 bundles dozens of codes with both 93580 and 93581, including pacemaker insertion code 33210; endovascular aortic aneurysm repair code 34812; fluo-roscopy code 76000; therapeutic, prophylactic or diagnostic injection codes 90782-90784 and cardiovascular medicine codes 93040-93042 and 93561-93562. The new CCI edits make 93580 and 93581 the comprehensive codes for...

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