Because of its increased scope, the number of intervention codes increases to approximately 18,000 in CCI from just less than 3,500 in CCP and Volume 3 of ICD-9-CM.
With the introduction of CCI as the new standard for the classification of health-related interventions, information systems currently used in Canada, to collect and store CCP and/or ICD-9-CM procedure codes, will need to be modified to accommodate the new coding structure for CCI.
The first character (field 1) of each code represents a CCI Section which identifies broad types of interventions contained in CCI (e.g. diagnostic, therapeutic, obstetrical, etc.)
CCI has a totally alphanumeric structure with a code length of 10 characters, as illustrated below:
Decimals should not be included in coded data submitted to CIHI. CIHI will receive each CCI code as a 10 character alphanumeric (AAAAAAABBB) field. In many codes fields 5 and 6 are not defined. In these cases, trailing blanks will be part of the machine readable code.
CIHI will publish/distribute regular CCI updates to its clients. Requests for updates to CCI can be sent to CIHI through the Public Submission Process. CIHI will also assess the feasibility of using alternative mechanisms to distribute updates to its clients (e.g. internet).
Note: Not all CCI codes will require the coding of these attributes. CIHI will identify the appropriate use of the attributes in both its publications (paper and electronic) and its edit tables.
Get instant explanation for any acronym or abbreviation that hits you anywhere on the web!
Get instant explanation for any acronym or abbreviation that hits you anywhere on the web!
The CCI is an affiliated unit of Indian cricket board.
The CCI meeting will discuss a range of issues, including ones related to the provincial governments and reports on the proposed transfer of Workers Welfare Fund and Employees Old Age Benefits Institution (EOBI) to provinces.
Now, a Reuters exclusive bares those details after conducting a review of CCI 's 14-page order.
CPT code 31500 describes an emergency endotracheal intubation and should not be reported for elective endotracheal intubation. When they use the word elective, that doesn’t mean that you went in and said, ‘Hey I want to be intubated’. It means that you are in a non-emergency procedure. You had some sort of scheduled procedure. We have to intubated you in order to do that procedure. That’s all they’re talking about with the word elective. That went and throw you off to think that it’s a cosmetic procedure or anything strange like that. These are your usual services that your providers are performing. They’re just not emergency services. The emergency situation would be something like, a patient came in with trauma and their airway collapsed or a patient who came in with appendectomy. We have to get them out right this very minute. It’s an emergency procedure. Those are the situations where we have to do an emergency endotracheal intubation. But this elective endotracheal intubation means maybe they came in and we’re doing bariatric surgery and put them out in order for them to be anesthetized in general anesthetic. We need to do an intubation to keep their airway going because if you don’t know under general anesthesia you lose control of your airway so you need somebody else to maintain that for you. They tell you right here, ‘We’re going to bundle airway access if it’s needed for general anesthesia. We’re going to bundle intravenous access if it’s done with surgical procedures, anesthesia procedures, radiology procedures that will require invasive contrast, nuclear medicine procedures.
NCCI stands for the National Correct Coding Initiative and sometimes we refer to it just as CCI or the Correct Coding Initiative. This is where CMS has developed certain edits. There are certain services certain CPT codes that are bundled into other CPT codes. Usually when we think about bundling.
I’m going back to my slide for just a minute. So we’ve identified what NCCI is, right? It’s the national correct coding initiative. It’s there to help control improper coding that leads to improper payments.
What is code-pair checking? Well, code pair checking is what most of us call going and looking to see if two codes can be billed together. It’s just kind of a slang that we use. Did you use a code pair checker? Did you see if those two services could be reported together. There is specific code pair checking software. Now I know I showed you that CMS spreadsheet of all of the edits, they’re all there. You could use that spreadsheet. It’s just most people do not find that easy to follow. They would rather have a code pair checker that tells them a little more explicitly what to do with the service. Do you have to pay for code-pair checking software. You don’t have to pay for it because you can use the excel spreadsheet. But if you want a code-pair checking software, yes, you will probably have to pay for it. It is usually included in many of your N coding services. I know things like find a code included. The AAPC coder, the software that they offer. Your three M encoder. Most of those types of packages include a code type checker. So we’ll take a look at a code pair checker and show you the difference between that in the excel spreadsheet. Does code-pair checking only apply to medicare? We’ve talked about this. No. Many other commercial carriers tend to follow those same NCCI edits. You want to make sure that you’re checking that and looking at their policy manuals as well. Let’s talk about a couple of examples here. Let me show you how a code pair checking software looks like.
No. You should not be checking on the NCCI for medicare.
CPT codes for fluoroscopy or fluoroscopic guidance or ultrasound guidance should not be reported separately from the radiological supervision and interpretation. That’s what they’re talking about. When you do this code, you’re doing all of that. You’re doing the localization and the reporting for it.
Cholecystectomy is the removal of the gallbladder. If your billing you remove three gallbladders from the same patient, that is highly unlikely. It’s highly unlikely that they have three gallbladders. So, those are the types of things that are considered medically unlikely edits and they’re going to kick out.