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Ophthalmology and Optometry Coding Alert

CCI 15.3 Update:

Include Moderate Sedation in Nearly All Eye Codes

Published on Fri Jul 10, 2009

Key: Role of second physician is critical in determining claims. Ophthalmology coders can sum up this round of CCI bundles in seven words: Check the edits before reporting moderate sedation. If you thought CCI left no stone unturned in bundling moderate sedation, think again. Correct Coding Initiative (CCI) version 15.3, effective Oct. 1, continues the trend, bundling 99148-+99150 into most other CPT codes. Medicare allows no modifier to separate the bundles. Roughly 80 percent of the new bundles relate to moderate sedation codes 99148-+99150 (Moderate sedation services [other than those services described by codes 00100-01999], provided by a physician other than the health care professional performing the diagnostic or therapeutic service that the sedation supports ...), according to the Sept. 11 "NCCI 15.3 Update" news release by Frank Cohen, MPA, senior analyst with MIT Solutions Inc. in Clearwater, Fla. These edits carry a modifier indicator of "0," which means you [...]
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