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Ob-Gyn Coding Alert

Reader Questions:

No CCI Bundle? Here's Where to Find Modifier Details

Published on Tue Apr 26, 2011

Question:Sometimes I cannot find my two-code pairs in the Correct Coding Initiative (CCI) edits. How do I know which code would be considered a column 1 code and which would be considered a column 2 code, so that I could put my modifier on the correct code? New Mexico SubscriberAnswer: The Centers for Medicare and Medicaid Services developed CCI to prevent inappropriate payment of services that should not be reported together. If you are checking CCI for codes that might be bundled together, but you discover the two in question are not listed, ,the codes are most likely not bundled by Medicare. Keep in mind CMS has stated that not all bundles are published, especially when the bundle in question is clearly indicated as such in the CPT® book. But if the two codes you are looking at are not bundled in CCI or CPT®, you would not need a [...]
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