Medlearn
Matters…Information for Medicare
Providers
(Issued by the Centers for
Medicare & Medicaid
Services)
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Quarterly
Update to Correct Coding Initiative (CCI) Edits, Version
11.0, Effective January 1, 2005
Provider Types Affected
Physicians
Provider Action Needed
This is
a reminder for physicians to take note of the quarterly
updates to the coding initiatives. The next round of CCI
edits will be effective on January 1, 2005. Physicians
may view the current CCI edits and the current Mutually
Exclusive Code (MEC) edits on the Centers for Medicare
& Medicaid Services (CMS) Web site at: http://www.cms.hhs.gov/physicians/cciedits
.
The Web site will be updated with the Version 11.0
edits as soon as they are effective.
Background
The National Correct
Coding Initiative developed by CMS helps promote national
correct coding methodologies and controls improper
coding. The coding policies developed are based on coding
conventions defined in the American Medical
Association’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 latest package of CCI edits, Version 11.0, is
effective on January 1, 2005. This version will include
all previous versions and updates from January 1, 1996 to
the present and will be organized in two tables: Column
1/Column 2 Correct Coding Edits and MEC Edits.
Additional Information
The CCI
and MEC files will be maintained in the Internet Only
Manual, Chapter 23, Section 20.9, which can be found at:
http://www.cms.hhs.gov/Manuals/IOM/list.asp#TopOfPage
.
Disclaimer
Medlearn Matters articles are
prepared as a service to the public and are not intended
to grant rights or impose obligations. Medlearn Matters
articles 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.
For more information, visit the Medlearn Matters Web
page at: http://www.cms.hhs.gov/MedlearnMattersArticles/.
Related Change Request (CR) #:
3491
Medlearn Matters Number: MM3491
Related CR Release Date: October 22,
2004
Related CR Transmittal #: 324
Effective Date: January 1,
2005
Implementation Date: January 3, 2005
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