Cardiology Edit Pairs: Know what's in and What's Out

CCI 16.2 went in full effect on July 1 this year. If you are a cardiology coder, you need to beware of coding transcatheter therapy and vascular imaging to the same date. But there is fantastic news as well.

What is been deleted: Appropriate coding initiatives deletes edits for MTWA and anxiety tests

Earlier, you faced an edit that has barred reporting cardiovascular tension test codes 93015-93017 with 93025. But from July one, you will be able to report these codes together, owing to an edit deletion in the new CCI edits.

What is in: Comply with new ECG and Imaging Edits

Of all the just-in appropriate coding initiatives, ensure you note these areas in specific: Now CCI bundles 75896 into countless codes, which includes endovascular repair codes 34800-34805, too as vascular system codes 75600-75791 and 75810-75891. These edits have a modifier indicator of 1, which indicates which you may well override the edit with a modifier like 59 when appropriate. Now CCI also bundles 93000-93010 into cardiac CT codes 75571-75574. These edits also possess a modifier indicator of 1.

Don't forget: As modifier 59 has the possible to bypass CCI edits, practices use this modifier really often. Having said that you ought to by no means use modifier 59 just to have paid for any procedure.

That apart, CPT instructions say that if a additional specific modifier describes the scenario, you will need to go for modifier 59. This modifier ought to be a modifier of last resort and only used when there's no other modifier to compliantly bypass the bundling edit, plus the process was clearly distinct and diverse from that in the other technique. For instance modifiers LT and RT may possibly be further apt for your case.

For additional about the CCI 16.2 edits, sign up for any one-stop Medical Coding Site.