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Oncology & Hematology Coding Alert

CCI Update:

Correct Coding Initiative 18.2 Cleans Up Abdomen and Pelvis CT Coding

Published on Wed Aug 15, 2012

Confirm the reason for CT with PET before you code. If you code imaging services for your patients, be sure to check your claim against the most recent Correct Coding Initiative (CCI) edits to identify codes that don't belong on your claim. Watch for these CT edits among the 2,500 new bundles in version 18.2, which became effective for physicians July 1, 2012. 1. Check Medical Necessity Before Reporting CT With PET The edits: CCI 18.2 adds these edits: Column 1: 78811-78813, Positron emission tomography (PET) imaging ... Column 2: 74176, Computed tomography, abdomen and pelvis; without contrast material. Modifier indicator: These edits have a modifier indicator of 1, so you may override the edits with an appropriate modifier when circumstances allow (see the Tip below). Edit rationale: The reason for the edits is "Misuse of Column 2 code with Column 1 code," according to the NCCI 18.2 Update by [...]
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