Correction to CR 6728 on Correct Coding Initiative (CCI) Edits, Version 16.0, Effective January 1, 2010
MLN Matters Number: MM6818
Related Change Request (CR) #: 6818
Related CR Release Date: January 8, 2010
Effective Date: January 1, 2010
Related CR Transmittal #: R1891CP
Implementation Date: January 15, 2010
Provider Types Affected
Physicians submitting claims to Medicare Carriers and Part A/B Medicare Administrative Contractors (A/B MACs) for services provided to Medicare beneficiaries.
Provider Action Needed
This article is based on Change Request (CR) 6818, which informs physicians that the latest package of Correct Coding Initiative (CCI) edits, Version 16.0, effective January 1, 2010, is being corrected to replace the files in CR 6728, which was released on November 20, 2009.
Background
The coding policies developed are based on coding conventions defined in the:
- American Medical Association’s (AMA’s) Current Procedural Terminology (CPT) Manual;
- National and local policies and edits;
- Coding guidelines developed by national societies;
- Analysis of standard medical and surgical practice; and
- Review of current coding practice.
The corrected version for 16.0 will include all previous versions and updates from January 1, 1996, to the present and will be organized in two tables: Column I/Column 2 Correct Coding Edits and Mutually Exclusive Code (MEC) Edits.
Additional Information
If you have any questions, please contact the Palmetto GBA Provider Contact Center at their toll-free number, (866) 332-7025.
Disclaimer
This article was prepared as a service to the public and is not intended to grant rights or impose obligations. This article may contain references or links to statutes, regulations, or other policy materials. The information provided is only intended to be a general summary. It is not intended to take the place of either the written law or regulations. We encourage readers to review the specific statutes, regulations and other interpretive materials for a full and accurate statement of their contents. CPT only copyright 2009 American Medical Association. All rights reserved.