National Correct Coding Initiative - NCCI Coding Edits

MTA - Medical Terminology & Anatomy Course Info Page (40 CEUs)

Tammy: Q: [NCCI Edits] - I wanted to know if someone can clarify some confusion I have about when multiple surgeries are done on a patient but the codes the physician is using conflict with each other because of CCI Edits. How is the procedure billed if CCI Edits say the CPTs cannot be billed together?

A: In answering this question, I just assumed that you already knew that we have two or three columns when you’re looking at the edits depending on what format you’re looking at the edits in so that you know where your comprehensive codes are and then the ones that are included and then we have a column in which we’re going to have some of the indicators on edit beside it.

The short answer to your question is you would be able to bill them with a modifier. That’s the short answer; it may not always be the right answer. The CCI will have either a 0, 1, or 9 beside the edit in that column; if it is a 1, then a modifier is allowed to override your edit and both procedures can be billed together or multiple procedures depending on....

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More Information about national correct coding initiative :

National Correct Coding Initiative Edits - Centers for ...
Centers for Medicare and Medicaid Services
Important notice to all NCCI Users concerning the National Correct Coding Initiative Policy Manual for Medicare Services: The annual updated version of the ...
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[PDF]How to Use the Medicare National Correct Coding Initiative ...
Centers for Medicare and Medicaid Services
USING THE NCCI TOOLS. 3. Looking Up PTP Code Pair Edits. 3. How to Use the PTP Code Pair Tables. 4. Looking Up Medically Unlikely Edits (MUEs). 7.

The National Correct Coding Initiative in Medicaid ...
The CMS National Correct Coding Initiative (NCCI) promotes national correct coding methodologies and reduces improper coding which may result in ...

National Correct Coding Initiative - Wikipedia, the free ...
Wikipedia
The National Correct Coding Initiative (NCCI) is a CMS program designed to prevent improper payment of procedures that should not be submitted together.

National Correct Coding Initiative (NCCI) - WPS
It may be due to the National Correct Coding Initiative (NCCI). The National Correct Coding Initiative (N
National Correct Coding Initiative - Wikipedia, the free ...

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