Reader Questions:
Decipher Column 1, Column 2 CCI Codes
Published on Tue Mar 15, 2011
Question: Sometimes I cannot find the two codes I intend to bill in the
CCI Edits . How do I know which code would be considered a column 1 code, and which would be considered a column 2 code, which requires a modifier?Codify MemberAnswer: If the codes are not listed in the Correct Coding Initiative (CCI), the codes are not bundled. You would not need a modifier to override a non-existent edit. If the codes are not listed in CCI, simply report them as you normally would without a bundle-breaking modifier.A private payer could have their own black box edits including several unknown and non-reported edit pairs. You would need to check with a payer representative for a recommendation and a listing of any black box edits.You can also find Medicare's other allowed modifiers in the Medicare Physician Fee Schedule. Columns Y-AC indicate if modifiers 50, 51 etc. [...]