tci General Surgery Coding Alert - 2008 Issue 4

CCI Update: Increased Edit Pressure for Recto/Anal Surgeries

Wound repairs also face new bundles, but confirm what you-re already doing Version 13.3 of the national Correct Coding Initiative (CCI) brings nearly 600 new bundling edits involving codes in the "digestive system" portion of CPT, and specifically targeting rectal (45000-45915) and anal (46040-46285) procedures. Important examples include bundling manipulation procedures 45900-45915 to rectal incisions, excisions and tumor destructions as described by 45000-45190. Codes 45900-45915 are now also bundled to 46040 (Incision and drainage of ischiorectal and/or perirectal abscess [separate procedure]) and thrombotic hemorrhoid surgery code 46320 (Enucleation or excision of external thrombotic hemorrhoid). Codes 46040 and 46080...

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