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Ob-Gyn Coding Alert

CCI 17.1:

Coding Substance Abuse Screening Separate From E/M Services? Not So Fast

Published on Tue Apr 26, 2011

Cystometrograms now include injection codes 64490, 64493.April 1st brought more than practical jokes. By now, you should have implemented CCI version 17.1's minor changes for ob-gyn practices, which includes edits affecting E/M codes and a urodynamic code. Background: The Correct Coding Initiative (CCI) 17.1 reveals 11,831 new edit pairs and 346 terminations, said Frank D. Cohen, MPA, MBB, senior analyst with MIT Solutions, Inc., in a March 17 statement.Highlight What Edits Take Modifier and Which Don'tIf your ob-gyn encounters a patient he suspects of alcohol or substance abuse, then you are probably aware of the following codes:99408 -- Alcohol and/or substance (other than tobacco) abuse structured screening (e.g., AUDIT, DAST), and brief intervention (SBI) services; 15 to 30 minutes99409 -- ... greater than 30 minutesG0396 -- Alcohol and/or substance (other than tobacco) abuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutesG0397 -- ... greater than 30 [...]
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