Match your 35475, 35476 Coding to the Latest Change

Latest CCI Codes versions have lot of changes for angioplasty of arteriovenous dialysis grafts. Match your 35475, 35476 coding to the latest change.
CCI Edits, CCI Edit, CCI Codes, Medical Coding

2010 has been a year of changes for coding angioplasty of arteriovenous dialysis grafts. The latest CCI codes version, that went into effect on October 1, 2010, adds to the list with a column swap that could be good news for your practice.

Begin with the 35475, 35476 edit facts

The codes involved in the edit are the following:

35475, 35476

Old way: Until October 1, CCI's edit for 35475 and 35476 resembled something like this:

Column 1 Column 2

35476 35475

As a result, 35475 (arterial) was bundled into 35476 (venous).

Know how column change impacts fee

As per CCI rules, if you report both codes in a column 1/column 2 edit pair to Medicare or another payer who adopts CCI edits, the payer will reimburse you for the code in the column 1 position only. Medicare's national rate for 35475 is more than 35476; as such the column swap places the higher valued code in the column 1 position.

Compare CCI edit to coding recommendations

This new CCI edit column swap comes on the heels of other key 2010 changes for coding percutaneous transluminal angioplasty (PTA) of arteriovenous (AV) grafts and fistulas.

For more on the latest CCI edits(http://www.supercoder.com/coding-tools/cci-edits-checker/), sign up for a one-stop medical coding website. Such a site comes with a CCI tool that helps you keep your claims compliant with the NCCI. This tool tells you whether CCI bundles code combination and if the edit allows a modifier. Sign up for one today and see the difference it brings to your practice reimbursements!