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When you get to the page, you'll see hospital and practitioner edit lines, if you code pro fees, go down to the practitioner edits and if you are in gastro, you'll want to download the 37221 - 62121 line (that's the CPT codes it covers). Double click on the line/cpt range you want and it'll load into your downloads on your computer. THe excel file is easiest to read. You may have to click on "I accept" when the CMS thing comes up. You can click on "enable editing" and then save it however it's easiest to read for you once it comes up on your computer.
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Thank you. I was hoping it was easier :) I have looked for the Endoscopy codes and the spread sheet is SO BIG I have a hard to following the info. Maybe my problem is more I don't know how to use Excel to get to the info I want. Thank you for your help
 
Yes, it's huge, but once you hit the "enable editing" box, you can squeeze columns to make them more narrow and see more that way. Before the internet, these edits would come in reams of paper that we put into binders. Unbelievable. If you have codes that you use a LOT and you don't have access to a program that does it for you, it may not be a bad idea to make your own smaller spreadsheets (cut and paste) out of the ginormous spread sheet so you just see the groupings that you are typically looking for.
This hand out has tips on how to use the edits but maybe you already know:
There are coding products available (like EncoderPro.com Professional) that have tools to type in CPT codes you want to use together and the edits will appear. But of course these products cost money.
Hope this helps.
 
nsteinhauser said:
Yes, it's huge, but once you hit the "enable editing" box, you can squeeze columns to make them more narrow and see more that way. Before the internet, these edits would come in reams of paper that we put into binders. Unbelievable. If you have codes that you use a LOT and you don't have access to a program that does it for you, it may not be a bad idea to make your own smaller spreadsheets (cut and paste) out of the ginormous spread sheet so you just see the groupings that you are typically looking for.
This hand out has tips on how to use the edits but maybe you already know:
There are coding products available (like EncoderPro.com Professional) that have tools to type in CPT codes you want to use together and the edits will appear. But of course these products cost money.
Hope this helps.
Click to expand...
Thank you. That helps!
 
That is a good link!

Also, depending on the MAC/State, some MACs have an easy P2P edit checker that is easier than the spreadsheet: https://www.cgsmedicare.com/medicare_dynamic/j15/ptpb/ptp/ptp.aspx https://medicare.fcso.com/SharedToo...I7EZWD0F_JTCwtMsh233xQbn!-6835733?lob=&state=

As suggested above, ff your group has access to Encoder Pro or some other type, they have edit checkers too which is better than the spreadsheet.

You also want to consider, not just the P2P edits but the NCCI manual as well. Codes may not necessarily have a P2P edit but they may have a restriction described in the manual language. Read Chapter 1 and then read the chapter(s) for the service you are coding.
 
amyjph said:
That is a good link!

Also, depending on the MAC/State, some MACs have an easy P2P edit checker that is easier than the spreadsheet: https://www.cgsmedicare.com/medicare_dynamic/j15/ptpb/ptp/ptp.aspx https://medicare.fcso.com/SharedToo...I7EZWD0F_JTCwtMsh233xQbn!-6835733?lob=&state=

As suggested above, ff your group has access to Encoder Pro or some other type, they have edit checkers too which is better than the spreadsheet.

You also want to consider, not just the P2P edits but the NCCI manual as well. Codes may not necessarily have a P2P edit but they may have a restriction described in the manual language. Read Chapter 1 and then read the chapter(s) for the service you are coding.
Click to expand...
I am in Pennsylvania.
 
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