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What Interventional Radiology Coders Should Know About CCI 15.1

Posted on 16. Apr, 2009 by in Hot Coding Topics

EXTRA–Radiology Reimbursement WEBINAR: Do you know the difference between ‘Radiologic Technologist’ & RPA? Find out the answer–and how it affects your billing–here.

With 304,000 new edits Correct Coding Initiative (CCI) version 15.1 put into effect April 1, finding the ones that apply to interventional radiology is like finding the proverbial needles in the haystack. And now, slapping modifier 59 on every claim is more tempting than ever.

Careful: Many practices apply modifier 59 (Distinct procedural service) indiscriminately to bundled pairs to override the edits. But misusing modifier 59 this way is a serious compliance issue, leading to a high likelihood of audit and risking fraud charges, according to Frank Cohen, MPA, senior analyst with MIT Solutions Inc. in Clearwater, Fla., in his March 25, 2009 webinar.

Protect yourself and your practice by keeping an eye out for these edits and identifying...

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