maysons1703
Networker
I would really apprecitate any advice regarding NCCI edits and ER visits.
According to NCCI, when a minor procedure (0-10 day global) is performed then an E&M is not reportable unless there is a seperate identifiable service. It doesn't necessarly mean you need a seperate diagnosis, however, the presenting problem has to be warranted for an additional E&M. See pg 27 in the 90000 series for NCCI edits. Why would an E&M be coded with a lac repair in ER if that all was done?
Melissa Freeman, RHIT,CCS-P,CPC
According to NCCI, when a minor procedure (0-10 day global) is performed then an E&M is not reportable unless there is a seperate identifiable service. It doesn't necessarly mean you need a seperate diagnosis, however, the presenting problem has to be warranted for an additional E&M. See pg 27 in the 90000 series for NCCI edits. Why would an E&M be coded with a lac repair in ER if that all was done?
Melissa Freeman, RHIT,CCS-P,CPC