tci Part B Insider - 2007 Issue 30

CCI EDITS: No Modifier Will Overcome 13.3's Hundreds Of New Surgery Edits

Avoid spinal surgery denials by paying attention to CCI changesBad news: You can pretty much give up on billing some rectum and anus surgery codes with a number of other surgery codes, under any circumstances. The Correct Coding Initiative version 13.3 creates a number of bundles involving:- rectum manipulation codes 45900-45915- 46040 (I&D of ischiorectal and/or perirectal submuscosal abscess, transanal, under anesthesia) and 46080 (Sphincterectomy, anal, division of sphincter)- anal excision codes 46200-46220 CCI gives these edits a modifier indicator of -0,- so you cannot use a modifier to override the 589 edits that bundle those...

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