Suspended Correct Coding Initiative (CCI) edits

Effective February 12, 2001, the Health Care Financing Administration (HCFA) officially suspended the most recent Correct Coding Initiative (CCI) edits in a Program Memorandum (PM) on February 8, 2001 (Transmittal B-01-09). The PM states that CCI edits involving evaluation and management (E/M) codes and various XXX procedures, in addition to ophthalmologic general services ( 92002 - 92014 ) with various procedure codes are presently suspended. (XXX procedure codes refer to codes that are not global in the Medicare system.) This suspension of CCI edits will be retroactive to the start date of October 30, 2000. The suspended edits...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This premium article covers a HCFA Program Memorandum announcing suspension of selected Correct Coding Initiative (CCI) edits, including affected evaluation and management services, ophthalmologic examination services, and related procedure-code pair edits. It is relevant to coders, billing staff, compliance teams, and providers who need to understand how the suspension, retroactive dates, and claim-adjustment processes were addressed.

Why This Topic Matters

Policy changes to CCI edits can affect claim adjudication, denial review, and provider follow-up. Understanding the scope and timing of a suspension helps coding and billing teams recognize which categories of claims were impacted and how the administrative guidance was communicated.

What You Will Learn

  • What policy update was issued regarding certain CCI edits
  • Which broad service categories were affected
  • How the suspension timing was described
  • What administrative guidance was provided for denied claims and reconsideration processes
  • Where the memorandum was made available

Who Should Read This

  • Medical coders
  • Billing and claims staff
  • Compliance professionals
  • Physician practices
  • Revenue cycle teams

Codes Discussed

Code Ranges Discussed


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