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CCI – Changes to Correct Coding Edits, Version 9.3

September 1, 2003

Effective October 1, 2003, Correct Coding Initiative (CCI) Edits Version 9.3 will be implemented. CMS implemented national CCI Edits in 1996 for the purpose of identifying and eliminating the incorrect code of medical services.

New Conflicts have been added:

Effective Date Standard Policy Statement
85004 85008 07/01/2003 Most extensive procedures
85025 85008 07/01/2003 Standards of medical / surgical practice
85027 85008 07/01/2003 Standards of medical / surgical practice
85032 85008 07/01/2003 Standards of medical / surgical practice
85048 85008 10/01/2003 Misuse of Column 2 code with Column 1 code
85049 85008 07/01/2003 Standards of medical / surgical practice
86003 86005 10/01/2003 Sequential procedures
86317 86318 10/01/2003 Sequential procedures
87140 87271 07/01/2003 Misuse of Column 2 code with Column 1 code
87253 87271 07/01/2003 Misuse of Column 2 code with Column 1 code
87254 87271 07/01/2003 Misuse of Column 2 code with Column 1 code

The following codes were added as mutually exclusive procedures:

Effective Date Standard Policy Statement
86329 86331 10/01/2003 Mutually exclusive procedure

The following codes were deleted from the conflicting codes lists:

Effective Date Standard Policy Statement
88180 88342 01/01/2003 Mutually exclusive procedure
88300 88380 01/01/2003 Misuse of Column 2 code with Column 1 code
88302 88380 01/01/2003 Misuse of Column 2 code with Column 1 code
88304 88380 01/01/2003 Misuse of Column 2 code with Column 1 code
88305 88380 01/01/2003 Misuse of Column 2 code with Column 1 code
88307 88380 01/01/2003 Misuse of Column 2 code with Column 1 code
88309 88380 01/01/2003 Misuse of Column 2 code with Column 1 code

An extensive list of mutually exclusive surgical pathology (biopsy) codes have been added.

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