tci Medicare Compliance & Reimbursement - 2019 Issue 4

National Correct Coding Initiative: Know These New PTP Edit Pairs

CCI 2019 adds biopsy, care management, and psych test codes to the list. With 45,727 additions, 19,729 deletions, and 41 changes, the latest round of National Correct Coding Initiative (CCI) edits, effective January 1, was a lot to handle. Space and time don’t permit us to examine each procedure-to-procedure (PTP) edit in this issue of Medicare Compliance and Reimbursement. But the following highlights, and our experts’ opinions, should help you navigate this potential coding minefield. New Biopsy Codes Bring New Edits … Many edit pairs involve the new biopsy codes: 11102/+11103 (Tangential biopsy of skin ...)...

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