Advanced Search

ED Coding and Reimbursement Alert

CCI 18.2 Update:

NCCI Version 18.2 is Effective On July 1, 2012, Are You Ready To Correctly Handle these Edits?

Published on Mon Jun 18, 2012

Scope out these new CCI edits for fluoroscopy use and heparin lock proceduresProfessional services provided in the ED escaped attention in the latest round of new NCCI edits, effective July 1; however, there are a few facility issues you should know about.Overview: CMS is implementing edits in the National Correct Coding Initiative (NCCI) that mostly impact neurosurgery coding. These edits are applicable to claims for services rendered to Medicare and Medicaid patients. The edits (1,368 edits in total for Medicare and Medicaid and 24,069 for Medicaid only) represent three different groups explained below.Group I -- (42 new edits) In NCCI version 18.2 scheduled for July 1, 2012, CMS will implement Group I edits consisting of three types of edits, based on practice expense inputs: If the CMS practice expense input file indicates that a procedure includes a fluoroscopy room, relevant fluoroscopic procedure codes are bundled into that code. If the inputs [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

ED Coding and Reimbursement Alert

View All