Medicare Compliance & Reimbursement

Correct Coding Initiative:

62310 Billed With Arthroscopy? Not Anymore, Thanks to CCI 17.0

New edition of bundling edits target 2011 codes. You may just be digging in to your 2011 CPT book, but the Correct Coding Initiative (CCI) has already taken aim at some of the new codes by bundling them into existing codes. The CCI released version 17.0 earlier this week, revealing 19,822 new active pairs and 9,778 code pair deletions, said Frank D. Cohen, MPA, MBB, senior analyst with The Frank Cohen Group LLC, in a Dec. 14 announcement. Many of the new code pair additions involve CPT codes that debut on Jan. 1, with CCI getting ready to halt payment if you report certain procedures together. For instance, you'll find spinal injection codes 62310-62319 bundled into new code 29914 (Arthroscopy, hip, surgical; with femoroplasty [ie, treatment of cam lesion]), and no modifier can separatethese edits. CCI Has Good News and Bad News on the Modifier Front Not all news coming [...]
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