tci ED Coding & Reimbursement Alert - 2017 Issue 9

Reader Question: Follow This Quick NCCI Primer

Question: We have always added a modifier to separate National Correct Coding Initiative (NCCI) edits, but our new office manager said we need to start only using a modifier "when warranted." How do we know when the modifier is "warranted?" Supercoder.com Subscriber Answer: Many coders see the NCCI edits as the final word when determining which procedures can and cannot be billed together. In most cases, you'd be correct relying on NCCI edits to make sure a particular pair of CPT® codes are appropriately billable. Perhaps the greatest misconception in all of procedural coding, however, is...

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