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tci Part B Insider - 2017 Issue 5
Part B Coding Coach: Understand the Nuances of CCI Edits to Cardiology
Use this primer to prepare for what’s ahead.
CMS initiated the Correct Coding Initiative (CCI) to promote better coding and reduce improper payments. Take a look at these fundamentals that help you clarify CCI edit pairs for cardiology.
Identify PTP Edits for Clarity
Fun fact: CCI edits are more than 20 years old. In 1996, CMS implemented Procedure-to-Procedure (PTP) edits. These edits indicate the CPT® and HCPCS code pairs you should normally not report together. CMS updates its PTP edits quarterly. If you’ve been in the coding game a while, you may remember the days when CMS...
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