tci Medicare Compliance & Reimbursement - 2008 Issue 25

CCI Edits: Version 14.2 Halts Payment Of 90769 With Several E/M Codes

Half of the new edit pairs affect anesthesiologists. The Correct Coding Initiative (CCI) strikes again, with more than 300,000 changes and 4,305 new bundles affecting Part B providers effective July 1. This time around, CCI aims most of its fire at the anesthesia codes, directing nearly half of Version 14.2's new edits to the codes in the 00100-01999 range.For example: CCI now bundles 36555-36556 (Insertion of central venous access device) into 93503 (Swan-Ganz insertion), but you can append a modifier to the pair to break the edit. "Anesthesiologists reporting these two procedures together will need...

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