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Oncology & Hematology Coding Alert

CCI Update:

Apply Most Recent CCI Version or Face CBC Denials

Published on Tue Jul 27, 2010

Modifier indicator change from '1' to '0' ties labs' hands.Correct Coding Initiative (CCI) 16.1, Physician Version, appeared to open the door for reporting a medically necessary complete blood count (CBC) with subsequent transcutaneous hemoglobin later in the day -- as has and continues to be allowed for APC facility billing according to the current Hospital APC version of CCI. But CCI 16.2 slams that door shut.Think Twice Before Coding 2 HemoglobinsIf you've got your own lab, it might get a request for two medically necessary hemoglobin tests by different methods in a single day for the same patient. You won't be able to bill for both, according to CCI 16.2.CCI has bundled 88738 (Hemoglobin [Hgb], quantitative, transcutaneous) with 85025 (Blood count; complete [CBC], automated [Hgb, Hct, RBC, WBC, and platelet count] and automated differential WBC count) and 85027 (... complete [CBC], automated [Hgb, Hct, RBC, WBC, and platelet count]) since Jan. [...]
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