Pediatric Coding Alert

Correct Coding Initiative:

Reporting Subsequent Hospital Care With Neonatal Intensive and Critical Care Codes? Not Anymore, Thanks to CCI 18.0

Plus: New edition of bundling edits targets 2012 CPT codes. You may just be digging in to your 2012 CPT book, but the Correct Coding Initiative (CCI) has already taken aim at some of the new codes by bundling them into existing codes effective Jan. 1. The CCI released version 18.0 at the end of 2012, revealing 15,530 new active pairs and 6,197 code pair deletions, said Frank D. Cohen, MPA, MBB, senior analyst with The Frank Cohen Group, LLC, in his analysis of the changes. Many of the new code pair additions involve CPT codes that debuted on Jan. 1, with CCI now halting payment if you report certain procedures together. For instance, you'll find pulse oximetry (94760-94762) bundled into the new car seat testing codes 94780-94781, but in most cases, a modifier can separate the edit when necessary. Keep in mind: You cannot simply add a modifier (such [...]
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