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Cardiology Coding Alert

CCI Update Think Outside the Category I Box for Correct Coding Initiative 18.2

Published on Mon Aug 06, 2012

If you use 0293T or +0294T, watch out for 339 new edits.   If you code for a cutting edge practice that always has you searching through the Category III codes, be sure to check your claim against Correct Coding Initiative (CCI) version 18.2. Here are some highlights to watch for.   Keep in mind: These edits have an effective date of July 1, 2012, for physicians. If you report both the Column 1 and Column 2 codes in an edit pair, payers who follow Medicare rules will deny the Column 2 code. If the edit has a modifier indicator of 0, you may never override the edit. If the edit has a modifier indicator of 1, you may override the edit with an appropriate modifier if the services are distinct, such as separate sites or separate sessions. For instance, you may append modifier 59 (Distinct procedural service) to the [...]
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