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Neurology & Pain Management Coding Alert

CCI 16.2:

New Edits Switch Columns for Polysomnography, Needle EMG Pairs

Published on Wed Jun 02, 2010

Double check before separately reporting paravertebral facet injections.The latest Correct Coding Initiative (CCI) edits went into effect July 1, 2010, and have several "switched edit" pairs of neurology codes you should check. If your neurologist performs pain management injections, you'll also want to incorporate changes for some medications and procedures.CCI 16.2 encompasses 16,843 new edit pairs, according to analyst Frank Cohen, MPA, of MIT Solutions, Inc., in Clearwater, Fla. Here's what you need to know about edits that might affect your coding.Change Columns for +95920 and OthersWhen CCI pairs codes as "mutually exclusive procedures," you can't report those two procedures during the same patient encounter. Always submit the "Column 1" code of the pair, as submitting the "Column 2" choice can lead to denials.New versions of CCI sometimes include a few edits that reverse the Column 1 and Column 2 codes. Four current neurology code pairs in CCI 16.2 fall [...]
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