tci Medicare Compliance & Reimbursement - 2007 Issue 26

CODING: No Modifier Will Save You From New Digestive Surgery Edits

Watch your laparoscopy coding on the same day as surgery.The latest version of the Correct Coding Initiative (CCI) goes straight for the gut.Most of the new edits in CCI version 13.2, which takes effect in July, attack digestive system surgery codes, especially laparoscopic surgeries. Laparoscopic endoscopies become components of many surgery codes. And you can't override any of these new digestive-system edits by attaching a modifier to your claims.Laparoscopic gastrostomy code 43653 becomes a component of 50 different codes. The Column 1 codes include a number of other laparoscopic surgeries, including digestive system surgeries, such...

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