Medicare Compliance & Reimbursement

Correct Coding Initiative:

CCI 15.0 Takes Aim atSeveral New CPT Codes

IV infusion code sees scores of bundles. With more than half a million changes to the Correct Coding Initiative (CCI), you've got your work cut out for you this post-holiday season. Version 15.0 of CCI, which was effective on Jan. 1, institutes more than 522,000 changes to its code pairs, with 18 percent of the changes taking place among the codes in CPT's anesthesia section. E/M codes: Medicare payers will now bundle most of the E/M codes (99201-99215) into the new brachytherapy codes (77785-77787), and no modifier can separate these bundles. "Most of the other brachytherapy codes include an E/M service according to CCI, so although it would have been nice not to have this new code bundled with E/M, it was expected," says Ali Johns with East Billing in East Hartford, Conn. In addition, CCI will also bundle the E/M series into several codes from the new hydration series (such as 96360, 96365, and 96372-96374). This [...]
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