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Ophthalmology and Optometry Coding Alert

CCI FAQs:

Puzzled By CCI Specs? We've Got Answers to Your Top 3 CCI Questions

Published on Fri Jul 08, 2011

Tip: Keep edits in mind for other payers besides Part B MACs.With the new round of Correct Coding Initiative (CCI) edits going into effect as of July 1, 2011, it's a good time for a CCI refresher. Whether you're new to coding or you've been dealing with the edits for years, it can't hurt to check out the following three frequently-asked questions.Know When Modifiers ApplyQuestion 1: Our office manager never allows us to use a modifier to override the CCI edits because she says that ignoring CCI edits amounts to "unbundling," which is not appropriate. But we've been using modifiers to override CCI edits for years. Who is right?Answer: In certain clinical circumstances you can override -- not ignore -- CCI edits and receive separate payment for bundled codes. To find out if you can separately bill services, first check the "modifier indicator" in column F of the CCI spreadsheet.How it works: [...]
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