Long a part of Medicare’s automated cost savings approach to claims adjudication, the National Correct Coding Initiative is comprised of thousands of procedure code combinations that cannot be billed together due to 1) one of the codes being considered a component of the other code or 2) one code is a separate, mutually exclusive approach from the other code.
In the Code Detail display, CCI edits are shown with every accompanying procedure code. In some cases, an edit can be bypassed using an appropriate applicable modifier. Code pairs for which this is possible are highlighted in green. In addition, each code in the CCI list is linked to its Code Detail page so that you can compare and contrast the codes, which may point you to the correct procedure code.
The CCI edits are updated on a quarterly calendar basis within SpeedECoder so there is no need to update paper manuals or any other source. If you do need CCI edits on the go, SpeedECoder contains a downloadable SpeedEBook™, a searchable, printable PDF document, that contains all the edit details.