General Surgery Coding Alert
Reader Questions:
Medicare Provides Free Access to NCCI Edits
Published on Mon Sep 27, 2004
Question: I heard that Medicare posted the National Correct Coding Initiative (NCCI) edits on the Internet. Is this true? If so, which Web site address should I use to find the edits?
North Carolina Subscriber
Answer: CMS now offers an inexpensive way to stay current on the latest National Correct Coding Initiative edits that affect surgery practices. You can check out the quarterly NCCI edit updates for free at www.cms.hhs.gov/physicians/cciedits.
The same Web page also includes links to documents that explain the edits, including the NCCI Policy Manual for Part B Medicare Carriers, Medicare Carriers Manual, and an NCCI Question and Answer page.
Other Articles in this issue of
General Surgery Coding Alert
- 4 Case Studies Demonstrate the Ins and Outs of Foreign-Body Removal
FBR doesn't always mean a 20000-series code CPT does not employ a uniform set of [...] - Want the Key to Workers' Comp Claims? Try E codes
WC insurers expect information about the accident or disease's cause If your surgeon is seeing [...] - You Be the Coder:
CPT Now Provides a Code for M2A Capsule
Question: Our office just purchased equipment so we can conduct in-office M2A Capsule tests. What [...] - Select 99455-99456 - Not E/Ms - for WC Evaluations
If your surgeon evaluates a patient for a workers' compensation claim, you should turn to [...] - Skip Modifier -59 for Repeat Procedures
Append -76 for repeats, but not for multiple select catheterizations Not all multiple procedures require [...] - Reader Questions:
Forgo -57 for Patients Headed Directly to OR
Question: When should I use modifier -57 (Decision for surgery)? Does this modifier apply to [...] - Reader Questions:
Medicare Provides Free Access to NCCI Edits
Question: I heard that Medicare posted the National Correct Coding Initiative (NCCI) edits on the [...] - Reader Questions:
Same-Day Discharge? Report 99234 Series
Question: We kept a patient in the hospital overnight for observation and decided the next [...] - Reader Questions:
New Medical Record Doesn't Mean New Patient
Question: When a patient presents to the office for the first time after one of [...] - Reader Questions:
Consider Family Consult a Patient Service
Question: A patient comes in to discuss the care of his wife, who is also [...] - Reader Questions:
Use V Codes for OSHA-Required Tests
Question: After performing a blood draw, a nurse in our private surgical practice accidentally stuck [...] - Correction:
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The July 2004 General Surgery Coding Alert ("3 Questions You Must Ask Yourself When Coding [...]
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