Medicare Compliance & Reimbursement

Correct Coding Initiative:

Some Bundled Procedures Require More than Just NCCI Eligibility

Hint: Know which procedures require modifier 59, too. The National Correct Coding Initiative (NCCI) edits are the last word for most coders on how to determine which procedures are billable together. In most cases, you’d be correct relying on NCCI edits to make sure a particular pair of CPT® codes are appropriately billable. Not so fast: Perhaps the greatest misconception [...]
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