CCI – Changes to Correct Coding Edits, Version 10.0
January 1, 2004Correct Coding Initiative (CCI) Edits Version 10.0 (Effective January 1, 2004 – March 31, 2004) will be implemented. CMS implemented national CCI Edits in 1996 for the purpose of identifying and eliminating the incorrect code of medical services.
- No Comprehensive/Compound code pairs were deleted from the list
- No Mutually Exclusive code pairs were deleted from the list
- No Comprehensive/Compound code pairs were modified
- No Mutually Exclusive code pairs were modified
- New_CP_Pairs contains newly added Comprehensive/Component pairs
- New_ME_Pairs contains newly added Mutually Exclusive pairs
| Effective Date | Standard Policy Statement | ||
| 88112 | 88174 | 1/1/2004 | Mutually exclusive procedures |
| 88331 | 88160 | 1/1/2004 | Misuse of Column 2 code with Column 1 code |
| 89225 | 80502 | 1/1/2004 | Standards of medical / surgical practice |
| 88180 | 88112 | 1/1/2004 | Standards of medical / surgical practice |
| 88365 | 88271 | 1/1/2004 | Misuse of Column 2 code with Column 1 code |
| 88323 | 88361 | 1/1/2004 | Misuse of Column 2 code with Column 1 code |
| 87269 | 87206 | 1/1/2004 | HCPCS/CPT coding manual instruction / guideline |
| 88329 | 88162 | 1/1/2004 | Misuse of Column 2 code with Column 1 code |
| 87800 | 87660 | 1/1/2004 | HCPCS/CPT procedure code definition |
| 89230 | 80502 | 1/1/2004 | Standards of medical / surgical practice |
| 88331 | 88162 | 1/1/2004 | Misuse of Column 2 code with Column 1 code |
| 88331 | 88161 | 1/1/2004 | Misuse of Column 2 code with Column 1 code |
| 88365 | 88274 | 1/1/2004 | Misuse of Column 2 code with Column 1 code |
| 88332 | 88161 | 1/1/2004 | Misuse of Column 2 code with Column 1 code |
| 88365 | 88358 | 1/1/2004 | Misuse of Column 2 code with Column 1 code |
| 88365 | 88272 | 1/1/2004 | Misuse of Column 2 code with Column 1 code |
| 89230 | 80500 | 1/1/2004 | Standards of medical / surgical practice |
| 82575 | 82565 | 1/1/2004 | Standards of medical / surgical practice |
| 88332 | 88160 | 1/1/2004 | Misuse of Column 2 code with Column 1 code |
| 82575 | 81050 | 1/1/2004 | Standards of medical / surgical practice |
| 88365 | 88273 | 1/1/2004 | Misuse of Column 2 code with Column 1 code |
| 89235 | 80500 | 1/1/2004 | Standards of medical / surgical practice |
| 88365 | 88275 | 1/1/2004 | Misuse of Column 2 code with Column 1 code |
| 89225 | 80500 | 1/1/2004 | Standards of medical / surgical practice |
| 88321 | 88361 | 1/1/2004 | Misuse of Column 2 code with Column 1 code |
| 88332 | 88162 | 1/1/2004 | Misuse of Column 2 code with Column 1 code |
| 88361 | 88342 | 1/1/2004 | Most extensive procedures |
| 88325 | 88361 | 1/1/2004 | Misuse of Column 2 code with Column 1 code |
| 82575 | 82570 | 1/1/2004 | Standards of medical / surgical practice |
The following codes were added as mutually exclusive procedures:
| Effective Date | Standard Policy Statement | ||
| 88112 | 88174 | 1/1/2004 | Mutually exclusive procedures |
| 88112 | 88143 | 1/1/2004 | Mutually exclusive procedures |
| 88112 | 88108 | 1/1/2004 | Mutually exclusive procedures |
| 88173 | 88112 | 1/1/2004 | Mutually exclusive procedures |
| 88112 | 88161 | 1/1/2004 | Mutually exclusive procedures |
| 88112 | 88175 | 1/1/2004 | Mutually exclusive procedures |
| 88112 | 88106 | 1/1/2004 | Mutually exclusive procedures |
| 88112 | 88107 | 1/1/2004 | Mutually exclusive procedures |
| 88112 | 88104 | 1/1/2004 | Mutually exclusive procedures |
| 88112 | 88142 | 1/1/2004 | Mutually exclusive procedures |
| 88112 | 88160 | 1/1/2004 | Mutually exclusive procedures |
| 88112 | 88162 | 1/1/2004 | Mutually exclusive procedures |
| 88112 | 88174 | 1/1/2004 | Mutually exclusive procedures |
Notice from the CMS:
The heading “Comprehensive/Component Edits” has been changed to the heading “Column 1/Column 2 Correct Coding Edits”. The table containing comprehensive/component edits also includes edits which do not involve a comprehensive/component relationship but are codes that should simply not be reported together for other reasons, for example “misuse of the code”, etc. The headings have been changed to more accurately reflect the overall category of the edits within the tables and to eliminate the confusion as the result of using the term(s) “comprehensive/component”.) For more detailed information, please refer to Chapter 1 – General Correct Coding Policies – Section A, Pages 1 and 2.