Pathology/Lab Coding Alert

CCI Edits:

87493 C. Difficile Test Catches More Restrictions Under CCI 17.3

Plus: Limit 86000 blood processing codes with HCPCS Level II 'P' codes.Already restricted by CPT® instruction and prior Correct Coding Initiative (CCI) edits, you'll find even more limitations for reporting amplified-probe Clostridium difficile testing, thanks to new edit pairs in the third quarter CCI update.CCI version 17.3, effective Oct. 1, offers 1,380 new edit pairs and 835 terminated bundles, according to an analysis by Frank Cohen, MPA, MBB, principal and senior analyst with The Frank Cohen Group, LLC. Let us help you peer through the numbers to learn the CCI changes that will impact your laboratory.'Complete' Amplified Probe Code Stands AloneEarlier CCI versions bundled 87493 (Clostridium difficile, toxin gene[s], amplified probe technique) with several molecular diagnostics codes in the range 83890-83913 (Molecular diagnostics ...).Now CCI 17.3 also lists 87493 as the column one code with the following six codes in that range:83891 -- Molecular diagnostics; isolation or extraction of highly purified [...]
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