Spring 2021 Webinar Series Announced-Click here for details
* Source Data:
(CCI) Practitioner P2P Coding Edits: For more information on these edits or to view the Hospital Outpatient Edits, please visit https://www.cms.gov/Medicare/Coding/NationalCorrectCodInitEd/NCCI-Coding-Edits.html
MUE Coding Edits: For more information on these edits, please visit https://www.cms.gov/Medicare/Coding/NationalCorrectCodInitEd/MUE.html
**These codes will be denied when submitted for payment on the same date of service.
In some instances, both codes in a CCI code pair may be allowed if an appropriate modifier is used that describes the circumstances when both services may be allowed. Modifiers that are recognized/used to describe allowable circumstances for laboratory procedures are: 59 (Distinct procedural service) and 91 (Repeat clinical diagnostic laboratory test)
CPT copyright 2020 American Medical Association. All rights reserved.
The responsibility for the content of any "National Correct Coding Policy" included in this product is with the Centers for Medicare and Medicaid Services and no endorsement by the AMA is intended or should be implied. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, nonuse, or interpretation of information contained in this product.