DecisionHealth, DecisionHealth - 2023 Issue 6 (June)

CMS issues new CCI edits for drug tests, nerve blocks

Take note if your practice bills presumptive and definitive drug tests. Effective July 1, a new procedure-to-procedure (PTP) edit will bundle definitive drug tests into presumptive drug tests. CMS also set a modifier indicator of 0 for the edit, which means you won’t be able to break the pair with a modifier.

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