tci Part B Insider - 2014 Issue 10

Reader Question: Drill Down to the Correct Bundling Rules

Question:  I used the Correct Coding Initiative (CCI) edits checker tool and entered 2 CPT® codes (58558 and 58559). There was no indication these codes cannot be reported together. However, when I use the CMS scrubber tool and enter the codes, I get a “critical” error message indicating the code cannot be reported, per CPT® relationship guidelines. I’m confused on what’s going on here. Answer:  The CCI edits were initially developed by CMS to capture code pairs that practices were incorrectly coding together.  They determined this list by first identifying all codes that...

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