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CCI 18.0 Update: Look for These Two Codes, Bundled into Heaps of Procedures by James Smith





CCI 18.0 Update: Look for These Two Codes, Bundled into Heaps of Procedures by
Article Posted: 02/16/2012
Article Views: 97
Articles Written: 928
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CCI 18.0 Update: Look for These Two Codes, Bundled into Heaps of Procedures


 
Health
You are required to know these edits in case you report 20527 or 29582

New codes aren't just the only things that influence your ED coding in 2012. Correct Coding Initiative (CCI) edits version 18.0 went into effect Jan. 1, 2012, with 15,530 novel edit pairs. Learn how CCI edits 2012 changes the way you report 20527 or 29582 and ensure accurate medical coding.

Even though a small number of of the new edits in CCI edits 2012 are focused on regularly used emergency medicine services, you must review the list for bundled code pairs in case you report 29582 (Application of multi-layer compression system; thigh and leg, including ankle and foot, when performed) or 20527 (Injection, enzyme [e.g., collagenase], palmar fascial cord [i.e., Dupuytren's contracture]). These two CPT® codes are at the present paired with hundreds of codes from the surgical section; particularly those related to trigger point injections, fracture as well as dislocation services.

Trigger Point Injections Are Targets

In case your ED group administers trigger point, joint, or tendon injections, don't oversee the CCI edits 2012 including those procedures:

Trigger point injection CPT codes 20552 through 20553 are the Column 1 codes with novel codes 29582 and 29584 (… upper arm, forearm, hand, and fingers).

Joint injection CPT codes 20600, 20605, as well as 20610 are the Column 1 codes with novel procedures 20527, 29582, 29583 (Application of multi-layer compression system; upper arm and forearm), and 29584.

CCI Edits 2102 Tip: Note This Crucial Timing Change

CMS Transmittal 2370, that went into effect Dec. 16, 2011 states Integrated Outpatient Code Editor (I/OCE) instructions and specifications for the I/OCE that will be utilized under the OPPS and Non-OPPS for hospital outpatient departments, together with the ED.

The I/OCE directs all institutional outpatient claims (which includes non-OPPS hospital claims) through a single cohesive OCE which removes the need to update, install, and retain two distinct OCE software packages on a quarterly basis.

Facility coders, keep this in mind: Earlier, the CCI edits have been one quarter behind. Effective for Jan. 1, 2012, the existing quarter (Version 18.0) of the CCI edits 2012 will be implemented. Facility coders in specific should be aware of the fact that there is no longer a one quarter lag between the CCI edits and integration into the OCE logic. This will create greater consistency however may necessitate updating your systems more quickly with each novel publication of the CCI edits .

Related Articles - CCI Edit 2012, Medical Coding, CPT Codes,

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