News You Can Use:
Resubmit 57287-57288 Claims Due to CCI Error
Published on Mon Jul 21, 2008
You-ll see the correction in the final CCI version 14.2 If you met with denials concerning stress incontinence codes 57287-57288 when your ob-gyn also performs a paravaginal defect via an open abdominal approach (57284), you may need to resubmit these claims, due to a Correct Coding Initiative (CCI) error.
Here's what happened: Two CCI edits scheduled for deletion on Jan. 1 did not actually go into effect, says the American College of Obstetricians and Gynecologists (ACOG). Inadvertently, these deletions had no -deletion date- in the eyes of Medicare claims processing systems and on the CMS Web site.
The deleted edits are the following: CCI should have deleted these edits in final CCI version 14.0 implemented on Jan. 1, 2008. However, CCI 14.2 includes this correction in the CCI version 14.2, which goes into effect on July 1, 2008.
What you should do: You may hold your claims for the 57287 and 57288 services that payers would deny if they did not recognize the deleted edits. You can also resubmit these claims after the correction's implementation date of July 1. You should receive the additional reimbursement.