Advanced Search

Primary Care Coding Alert

CCI:

Newest CCI Edits Clarify More Procedures That Include Guidance

Published on Thu Jan 13, 2011

Don't submit 77001 or 77002 with fracture care, TPI, arthrocentesis. The newest edition of Correct Coding Initiative edits (CCI 17.0) went into effect Jan. 1, 2011, and clarifies that common services such as trigger point injections and fracture care include fluoroscopic guidance. Nix Fluoroscopic Guidance for Common Procedures Non-mutually exclusive edits apply to services that a physician might perform during the same care session but that aren't billable together. This is because one of the codes (the component code) is included in the services represented by the first (comprehensive) code of the pairing. You can bill individual components if the physician does not perform the entire comprehensive procedure. But if the physician performs the entire (comprehensive) procedure, you should bill the comprehensive code instead of the individual parts or components. CCI 17.0 includes non-mutually exclusive edits for several common procedures for FPs when performed with fluoroscopic guidance. The guidance procedures [...]
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 Revenue Cycle Insider
  • 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

Other Articles in this issue of

Primary Care Coding Alert

View All