tci General Surgery Coding Alert - 2004 Issue 9

6 Points Every Coder Must Know About NCCI

Learn when it's OK to unbundle and increase your reimbursement potential If you're reporting two or more distinct services, you can often legitimately override NCCI edits by applying the proper modifier, thus increasing reimbursement and the accuracy of the medical record.Must-Know Point 1: What Are NCCI Edits? NCCI edits are pairs of CPT or HCPCS Level II codes that Medicare (and many private payers) will not reimburse separately except under certain circumstances. Medicare applies the edits to services billed by the same provider for the same beneficiary on the same date of service, says Barbara Cobuzzi, CPC, CPC-H...

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