Pulmonology Coding Alert
Get Free Access to NCCI Edits
Question: I heard that Medicare posted the National Correct Coding Initiative (NCCI) edits on the Internet. Is this true? If so, which Web site address should I use to find the edits? Answer: CMS now offers an inexpensive way to stay current on the latest National Correct Coding Initiative edits that affect pulmonology practices. You can check out the quarterly NCCI edit updates for free at http://www.cms.hhs.gov/physicians/cciedits.
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The same Web page also includes links to documents that explain the edits, including the NCCI Policy Manual for Part B Medicare Carriers, Medicare Carriers Manual, and an NCCI Question and Answer page.
CMS lists the edits in a spreadsheet format. You can sort edits by code number (for instance, you could click only on the medicine and E/M codes 90000-99999) or by effective date. The Web page also includes a "find" feature so you can locate specific codes. The online database provides instant access to both the "comprehensive/component" and "mutually exclusive" code pair edits.
- Answers for You Be the Coder and Reader Questions were reviewed by Carol Pohlig, BSN, RN, CPC, senior coding and education specialist at the University of Pennsylvania department of medicine in Philadelphia; and Anthony M. Marinelli, MD, FCCP, chairman of the American Thoracic Society's Clinical Practice Committee.
Pulmonology Coding Alert
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Reporting Nebulizer Education
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Choose 10060 Rather Than Critical Care Codes
Question: Our pulmonologist occasionally performs a small "x" incision in a patient's chest to release [...] - Reader Question:
Append Modifier -25 to E/M Services
Question: Insurers often deny our practice's claims when we attach modifier -25 to a code. [...] - Reader Question:
Attach Modifiers for Teaching Physicians
Question: Would you explain how I should use modifiers -GC and -GE when reporting services [...] - Reader Question:
Get Free Access to NCCI Edits
Question: I heard that Medicare posted the National Correct Coding Initiative (NCCI) edits on the [...]
