The Correct Coding Initiative (CCI) edits 16.2, which went into effect on July 1, 2010 have several ‘switched edit' pairs of neurology codes you should check. If your neurologist carries out pain management injections, you will also want to include changes for some medications and procedures.
You need to change columns for +95920 and others
When CCI pairs codes as ‘mutually exclusive procedures, you cannot report those two procedures during the same patient encounter. Always submit the ‘Column 1" code of the pair as submitting the column 2 choice can bring about denials.
New versions of CCI sometimes include a few edits that reverse the column 1 and column 2 codes. Four present neurology code pairs in CCI 16.2 fall into this group; as such update your software or coding notes accordingly.
Whether you can submit both codes for the encounter depends on whether CCI assigns a "0" or "1" modifier indicator to the pair.
"0" modifier indicator means that you should never use both codes together. "1" modifier indicator means you can use both codes in some circumstances and with ample supporting documentation. You will append one of the CCI-associated modifiers like modifier 59 to the column 2 code, thus unbundling the edit and allowing payment for both the services.
ME Edits also hit 0213T-0218T
Paravertebral facet joint injection codes 0213T-0218T come into play as part of ME edits as well. The latest CCI edits pair each of the new category III codes using ultrasound for guidance with the matching paravertebral facet joint injection codes using fluoroscopy or CT guidance.
Source URL :- http://www.supercoder.com/coding-newsletters/my-neurology-coding-alert/cci-162-new-edits-switch-columns-for-polysomnography-needle-emg-pairs-article
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