tci General Surgery Coding Alert - 2013 Issue 11

Correct Coding Initiative: CMS Takes Back E/M Bundles That Quash Legit Pay

Check your modifier 25 claims for erroneous denials. Since July 1, you’ve been facing hundreds of Correct Coding Initiative (CCI) E/M bundles with your general surgery procedures, compliments of CCI 19.2. Now you can forget about some of those edit pairs, because CCI 19.3 (effective Oct. 1) terminates the bundles. Recap: You read about some of these edits in General Surgery Coding Alert Vol. 15 No. 8 “Greet E/M Bundles for Nearly Every Integumentary Surgery.” In addition to integumentary procedures, the E/M bundles also impacted endovascular codes (such as many codes 34800-37790), and the...

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