Advanced Search

Oncology & Hematology Coding Alert

NCCI Update:

Double-Check Your Digits ~ Version 12.3 Adds 2,865 Edits

Published on Thu Oct 12, 2006

These changes make it more likely that payers will catch your mistakes You-d need roughly 45 pages to list all the oncology-related National Correct Coding Initiative (NCCI) edits added effective Oct. 1.
 
Good news: The edits are unlikely to change the way you code, because they prevent reporting pairs you-re unlikely to code together.

Example: NCCI bundled 90810 (Individual psychotherapy, interactive, using play equipment, physical devices, language interpreter, or other mechanisms of non-verbal communication, in an office or outpatient facility, approximately 20 to 30 minutes face-to-face with the patient) into 77332 (Treatment devices, design and construction; simple [simple block, simple bolus]).

Bottom line: You won't need to change your coding much, but you will need to take extra care that you-re reporting the proper code. These edits make denials for mixing up digits more likely.
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Oncology & Hematology Coding Alert

View All