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tci Part B Insider - 2003 Issue 21
Coding: CMS Updates NCCI Explanation Language
If you're confused about the reasoning behind many National Correct Coding Initiative edits applied by Medicare carriers, there's new guidance for you. In Transmittal 1816, CMS revised many of the examples of different types of NCCI Edits in Section 4630 of the Medicare Carriers Manual.
In the new example given for a comprehensive code and a component code that includes a "common portion" of the comprehensive procedure, CMS discusses comprehensive code 0032T and component code 0031T. The full description of 0032T is "Speculoscopy; with directed sampling," and part of that descriptor encompasses 0031T, CMS states.
CMS...
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