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  1. P

    Wiki 92235 & 92134 ncci edit

    Good afternoon, We have a new retina physician in our practice, he has advised cpt 92235 & 92134 are bundled, but I do locate this edit on MEDICARE FIRST COAST NCCI TOOLS nor on the CMS website. Your assistance is appreciated.
  2. B

    Wiki Help Needed: Project and Research Question-Correct an Edit

    Hi everyone, I am stumpt on this preoject/research question below, any assistance would be so greatly helpful :) Thanks so much, Brittany- CPT code 77003 is present under revenue code 320. CPT code 64490 is present under revenue code 360. An NCCI edit is present on code 77003 and reads...
  3. A

    Wiki New EBUS CPTs for interventional pulmonology

    I have received two articles (ATS and AABIP both February issues) that state we can no longer use the 31629, 31628, 31633 or 31632 with the new codes... although there is not a CCI edit for them. Does anyone know more detail about the proper billing for these codes? CPT is not exactly clear...
  4. T

    Wiki Denial Help!-Amerigroup Medicaid

    Amerigroup Medicaid denied procedure code 59160 stating it was part of the primary code 59410, but I didn't get a CCI edit, so not sure how to fix this. Patient had a SVD at 16 6/7 weeks for fetal demise. She had immediate post partum hemorrhage and retained placenta, so the provider did a...
  5. S

    Wiki 54150 Circumcision on adult dorsal slit in office

    My provider did the above. However, I am getting a CCI edit stating my patient's age in inappropriate. Any suggestions? Thanks!
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