tci Part B Insider - 2006 Issue 1

CMS Hits New Codes With 4,000 Edits At Once

According to a letter from the Centers for Medicare & Medicaid Services to specialty societies, January's new CCI edits fall into four categories:1) New edits that are based on the same principles as old edits. These include 166 edits on the grounds that a surgeon can't receive payment for anesthesia he or she administers. You can't use a modifier to override any of those anesthesia edits. They also include 630 edits to prevent a provider from billing for anesthesia services while providing an operative procedure, using CPT codes 36000, 36410, 90760, 90765, 90772, 90774 or 90775.Another 752 edits...

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