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January 25, 2018


Four Tests Added to List of CLIA Waived Tests

In early January, the Centers for Medicare and Medicaid Services (CMS) announced new waived tests... Learn More


New and Revised Vaccine Codes Added to 2018 CPT Code Book

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OIG Recommends Measures for Curbing Opioid Misuse and Fraud

Office of Inspector General testimony before the House Committee on Ways and Means in January ... Learn More


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Medical Coding News Archives

New Correct Coding Edits Incorporate CPT® Changes

 
December 26, 2007:
On the whole, version 14.0 of the National Correct Coding Initiative edits reflect the CPT® changes for 2008.

This version of the edits becomes effective January 1, 2008, and includes all previous versions and updates from January 1, 1996. As in the past, CCI is organized in two tables: Column 1/ Column 2 Correct Coding Edits and Mutually Exclusive Code (MEC) Edits.

The changes to version 14.0 primarily involve the new/deleted CPT® codes—adding/deleting them as edits to existing codes and adding/deleting CPT® codes altogether. One consistent pattern was the addition of 64420 and 64421 (Injection anesthetic agent intercostal nerve, single or multiple respectively) to a wide range of codes in the mediastinum and diaphragm subsection of the CPT® manual and to other gastrointestinal procedures. Another consistent change was the addition of code 69310 Reconstruction of external auditory canal, to a long list of other auditory codes.

The Centers for Medicare and Medicaid Services (CMS) developed the CCI edits to promote national correct coding methodologies and to control improper coding that leads to inappropriate payment in Part B claims. The coding policies are developed based on coding conventions defined in the American Medical Association’s CPT® manual, national and local policies and edits, coding guidelines developed by national societies, analysis of standard medical and surgical practice and review of current coding practice. The CCI is administered by Correct Coding Solutions, LLC and concerns about specific edits should be submitted in writing to:

National Correct Coding Initiative
Correct Coding Solutions, LLC
P.O. Box 907
Carmel, IN 46082-0907


Deborah C. Hall
Clinical/Technical Editor

CPT is a registered trademark of the American Medical Association.

 

 
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