| CCI 16.2 went in full effect on July 1 this year. If you | | | | override the edit with a modifier like 59 when |
| are a cardiology coder, you need to beware of coding | | | | appropriate. Now CCI also bundles 93000-93010 into |
| transcatheter therapy and vascular imaging on the | | | | cardiac CT codes 75571-75574. These edits also |
| same date. However there is good news too. | | | | have a modifier indicator of 1. |
| What's been deleted: Correct coding initiatives deletes | | | | Remember: As modifier 59 has the potential to bypass |
| edits for MTWA and stress tests | | | | CCI edits, practices use this modifier quite often. |
| Earlier, you faced an edit that has barred reporting | | | | However you should never use modifier 59 just to get |
| cardiovascular stress test codes 93015-93017 with | | | | paid for a procedure. |
| 93025. But from July 1, you are able to report these | | | | That apart, CPT instructions say that if a more specific |
| codes together, owing to an edit deletion in the new | | | | modifier describes the situation, you should go for |
| CCI edits. | | | | modifier 59. This modifier should be a modifier of last |
| What's in: Comply with new ECG and Imaging Edits | | | | resort and only used when there's no other modifier to |
| Of all the just-in correct coding initiatives, ensure you | | | | compliantly bypass the bundling edit, and the procedure |
| note these areas in particular: Now CCI bundles 75896 | | | | was clearly distinct and different from that of the other |
| into many codes, including endovascular repair codes | | | | procedure. For instance modifiers LT and RT may be |
| 34800-34805, as well as vascular procedure codes | | | | more apt for your case. |
| 75600-75791 and 75810-75891. These edits have a | | | | For more on the CCI 16.2 edits, sign up for a one-stop |
| modifier indicator of 1, which means that you may | | | | Medical Coding Website. |