SEP 23, 2019
No New Bundling Edits for CCI in October
Beginning Oct. 1, the Centers for Medicare & Medicaid Services will implement its current Correct Coding Initiative Edits (CCI), Version 25.3. None of the edits impact ophthalmology services.
Medically Unlikely Edits (MUEs), which tell you how many times a service can be performed in one session, also has no changes.
When you are performing more than one service in a session, always confirm there is no bundling edit in place. Check every code combination, as it is easy to miss an edit, which may result in a payment delay.
“Indicator 1” means that there are times when it is appropriate to unbundle.
“Indicator 0” means these two codes can never be unbundled.
To see other CCI edits, the Academy links to the CMS website on our coding updates and resources page. You can also find current edits in the Coding Coach print and online.