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Anesthesia Coding Alert

Capture TPIs With Injections and More, Thanks to Edit Reversals

Published on Thu Aug 20, 2009

CCI 15.3 zeroes in on moderate sedation, but allows for more unbundling. The latest Correct Coding Initiative (CCI) edits delete previous CCI edits for many acute postoperative pain management codes, and change modifier indicators for some of the most common pain management  rocedures. CCI 15.3 went into effect Oct. 1 andincludes thousands of new, swapped, and terminated code pairs you need to implement now in order to file the correct codes and get reimbursed accordingly. Clue In to Modifier Indicator Changes With Biggest Impact "The big changes for anesthesia and pain management involve the change from a '0' modifier indicator to a '1' modifier indicator," says Marvel J. Hammer, RN, CPC,CCS-P, PCS, ACS-PM, CHCO, owner of MJH  Consulting in Denver. Having a "1" modifier indicator means you can append a modifier and bypass the bundling edits, thus gaining clearance to report both procedures. Example: CCI 15.3 lists trigger point injections [...]
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