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Ob-Gyn Coding Alert

Reader Question:

Decipher Column 1, Column 2 CCI Codes

Published on Mon Sep 05, 2011

Question: Sometimes I cannot find the two codes I intend to bill in the CCI edits. How do I know which code would be considered a column 1 code, and which would be considered a column 2 code, which requires a modifier?Codify MemberAnswer: If the codes are not listed in the Correct Coding Initiative (CCI), the codes are usually not bundled. You would not need a modifier to override a non-existent edit. If the codes are not listed in CCI, simply report them as you normally would without a bundle-breaking modifier.A private payer could have their own black box edits including several unknown and non-reported edit pairs. You would need to check with a payer representative for a recommendation and a listing of any black box edits.While many companies out there publish CCI data, not all of them list the codes by "column 1" or "column 2" specifications. You can [...]
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