tci Part B Insider - 2009 Issue 9

UNBUNDLING: Get to Know These Code Pairs That You Shouldn't Report Together Under Certain Circumstances

Follow the advice on these examples and it will lead the way to reporting your code combinations correctly. The Correct Coding Initiative (CCI) offers guidance on which codes you shouldn't bill to Medicare together, and which you can report together with modifiers. But there are exceptions to every rule, and Medicare wants to make sure your coding doesn't fit one of these potential exceptions. Medicare carriers routinely review claims to determine whether your physician reported codes together properly -- meaning that you should only report the most accurate codes, and you shouldn't bill "extra" codes just because CCI allows...

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