Pulmonology Coding Alert

NCCI 10.2 Update:

Catch Your Breath Before You Report J2001 With 89220

If you bill J2001 for lidocaine injections, the latest edits will get your attention If your practice reports J2001 for lidocaine injections with sputum specimen collections, you can expect a flood of denials -- all thanks to the new edition of the National Correct Coding Initiative (NCCI) edits. NCCI version 10.2, effective July 1, declares 108 new bundles that affect pulmonologists -- but the good news is that you may be able to use a modifier to separate the edits if you can prove the separate and distinct nature of the services. Billing 30000 and 31000 Codes on the Same Day? Not Without -59 The latest NCCI edits include several mutually exclusive codes from the nose (30000-30999), accessory sinuses (31000-31299), larynx (31300-31599) and trachea/bronchi codes (31600-31899).

The bulk of these bundles will affect your coding when the physician administers a lidocaine injection (J2001, Injection, lidocaine HCl [...]
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 your eNewsletter
  • 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
*CEUs available with select eNewsletters.