Medicare Compliance & Reimbursement

CORRECT CODING INITIATIVE:

CCI Institutes Over 300,000 New Code Pair Edits

This round, CCI also creates a few welcome deletions. If you thought CCI versions after January were pretty tame, get ready for a big surprise. The Correct Coding Initative's (CCI's) version 15.1, which goes into effect on April 1, adds over 304,000 new edit pairs to its already massive list. On the radar: CCI aims its fire at a select few codes this round, with only 524 unique codes listed in column 2 of the new column 1/column 2 edit list, and "only 48 codes make up the top 80 percent" of those listed, said Frank Cohen, MPA, senior analyst with MIT Solutions, Inc. in Clearwater, Fla., in a March 12 news release. The top most commonly-occurring codes in column 2 of the new non-mutually exclusive edits are 94250 (Expired gas collection, quantitative), 94680-94690 (Oxygen uptake, expired gas analysis), 95812-95819 (Electroencephalogram), and 96376 (Therapeutic, prophylactic, or diagnostic injection; each additional [...]
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