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tci E/M Coding Alert - 2014 Issue 12

Clip and Save: Keep This CCI 20.3 Edits Table Handy to Help Make Your E/M Coding More Efficient

Knowing when you can use a modifier to seek separate E/M payment will add dollars to your claim. The Correct Coding Initiative (CCI) 20.3 edits include bundles that pair most of the E/M codes with radiology, psychiatric, and urology procedure codes, and memorizing them may not be realistic. If you don’t know which codes the new bundles involve, or when you can — and can’t — use a modifier to break those bundles, your claims may fall into the rejection pile.  Cut out this table and keep it where you can access it quickly to...

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