Medicare Compliance & Reimbursement

Correct Coding Initiative:

New Edition of CCI Won't Allow AWV With ECG, E/M, Or Behavior Assessment

Plus: CMS also aims to stop you from billing FNA with excisions, resections, and biopsies. It was bound to happen. CMS took a hard look at the CCI and apparently realized that some of the individual components of annual wellness visits (AWVs, G0438- G0439) were still separately billable with the AWV. Effective July 1, that won't be the case. CCI version 17.2, which takes effect July 1, offers 2,367 new edit pairs and deletes 336 bundles, according to an analysis by Frank Cohen, MPA, MBB, principal and senior analyst with The Frank Cohen Group, LLC. The majority of edits impact the codes from the musculoskeletal code range (20000-29999), but bundles did occur to codes throughout the CPT® manual. Avoid AWV With Health/Behavior Assessment Because the AWV is a preventive wellness visit, many of its components cross over with the health and behavior assessment/intervention codes (96150-96154) as well as the medical [...]
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