Pulmonology Coding Alert

CCI Edits 17.2:

What Role Do 94011-94012 Play On Complex Pulmonary Stress Test Coding?

Caution: Detach bronchoscopy codes 31626 and 31643 from each other.If your practice is big on providing pulmonary function testing, make sure to watch out for the latest Correct Coding Initiative (CCI) edits version 17.2, which took effect on July 1, 2011. Edited bundles related to pulmonary stress test (PST), bronchospasm evaluation, and spirometric recording appear in the nonmutually exclusive section of the latest version, along with some sleep testing procedures.Three out of 322 mutually exclusive (ME) pairs concern pulmonologists, while nonmutually exclusive (NME) edits include 41 out of 2,021 bundles from pulmonologyrelated procedures.PST Overrides Expiratory Flow MeasurementCCI Edits 17.2 feature 41 nonmutually exclusive pairs that are expected to impact pulmonologists. Nonmutually exclusive edits apply to services that a doctor might carry out during the same encounter, but that are not billable together. These edits are nonbillable because one of the codes (the component code) is included in the services represented [...]
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