Billing Beat

CCI Edits

January 3, 2007

The next update of CCI edits will be effective on January 01, 2007. CCI edits and Mutually Exclusive Code (MEC) edits are available on the CMS web site. The web site will be updated with the Version 13.0 edits as soon as they are effective.

New CP Pairs (Effective: 1/1/2007)

Column 1 Column 2 STD Policy Statement B Mods Allowed
87801 87653 HCPCS/CPT procedure code definition 1
87490 83913 More extensive procedure 1
87472 83913 More extensive procedure 1
87641 83893 Misuse of column two code with column one code 1
87498 83896 Misuse of column two code with column one code 1
87562 83913 More extensive procedure 1
87550 83913 More extensive procedure 1
83913 80502 Standards of medical / surgical practice 1
88305 89060 HCPCS/CPT coding manual instruction / guidelin 1
87581 83913 More extensive procedure 1
87801 87498 Misuse of column two code with column one code 1
87498 83894 Misuse of column two code with column one code 1
87498 83912 Misuse of column two code with column one code 1
0146T 0150T Misuse of column two code with column one code 0
87640 83892 Misuse of column two code with column one code 1
87529 83913 More extensive procedure 1
87492 83913 More extensive procedure 1
0151T 0144T HCPCS/CPT coding manual instruction / guideline 0
0149T 0145T More extensive procedure 0
87486 83913 More extensive procedure 1
87653 83902 Misuse of column two code with column one code 1
87653 83912 Misuse of column two code with column one code 1
87498 83908 Misuse of column two code with column one code
87253 87498 Misuse of column two code with column one code 1
87538 83913 More extensive procedure 1
87517 83913 More extensive procedure 1
87641 83891 Misuse of column two code with column one code 1
87653 83891 Misuse of column two code with column one code 1
87512 83913 More extensive procedure 1
87651 83913 More extensive procedure 1
87800 83913 More extensive procedure 1
87470 83913 More extensive procedure 1
0148T 0145T More extensive procedure 0
87561 83913 More extensive procedure 1
87641 83897 Misuse of column two code with column one code 1
87640 83890 Misuse of column two code with column one code 1
87641 83909 Misuse of column two code with column one code 1
87653 80502 Standards of medical / surgical practice 1
87640 83898 Misuse of column two code with column one code 1
87552 83913 More extensive procedure 1
87653 80500 Standards of medical / surgical practice 1
87498 83907 Misuse of column two code with column one code 1
87149 87498 Misuse of column two code with column one code 1
87640 83896 Misuse of column two code with column one code 1
87641 83894 Misuse of column two code with column one code 1
87498 83892 Misuse of column two code with column one code 1
87498 83891 Misuse of column two code with column one code 1
83950 83913 More extensive procedure 1
87653 83892 Misuse of column two code with column one code 1
0145T 0147T Misuse of column two code with column one code 0
87536 83913 More extensive procedure 1
87640 83900 Misuse of column two code with column one code 1
87903 83913 More extensive procedure 1
87641 83907 Misuse of column two code with column one code 1
87542 83913 More extensive procedure 1
88309 89060 HCPCS/CPT coding manual instruction / guideline 1
87592 83913 More extensive procedure 1
87522 83913 More extensive procedure 1
87590 83913 More extensive procedure 1
87525 83913 More extensive procedure 1
87653 83896 Misuse of column two code with column one code 1
0148T 0146T HCPCS/CPT procedure code definition 0
87653 83913 More extensive procedure 1
87498 83902 Misuse of column two code with column one code 1
0147T 0150T Misuse of column two code with column one code 0
87498 83901 Misuse of column two code with column one code 1
87640 83893 Misuse of column two code with column one code 1
87798 83913 More extensive procedure 1
87527 83913 More extensive procedure 1
0145T 0144T HCPCS/CPT coding manual instruction / guideline 0
87521 83913 More extensive procedure 1
87498 83913 More extensive procedure 1
87901 83913 More extensive procedure 1
0148T 0144T HCPCS/CPT coding manual instruction / guideline 0
0149T 0150T Misuse of column two code with column one code 0
87653 83908 Misuse of column two code with column one code 1
87640 83891 Misuse of column two code with column one code 1
87485 83913 More extensive procedure 1
87498 80500 Standards of medical / surgical practice 1
83913 80500 Standards of medical / surgical practice 1
87556 83913 More extensive procedure 1
87557 83913 More extensive procedure 1
87641 83896 Misuse of column two code with column one code 1
87621 83913 More extensive procedure 1
87641 83900 Misuse of column two code with column one code 1
87641 80502 Standards of medical / surgical practice 1
87528 83913 More extensive procedure 1
87620 83913 More extensive procedure 1
87622 83913 More extensive procedure 1
87539 83913 More extensive procedure 1
0154T 0153T HCPCS/CPT coding manual instruction / guideline 1
87652 83913 More extensive procedure 1
87653 83909 Misuse of column two code with column one code 0
0149T 0146T Misuse of column two code with column one code 1
87902 83913 More extensive procedure 1
87495 83913 More extensive procedure 1
87808 80500 Standards of medical / surgical practice 1
87650 83913 More extensive procedure 1
87555 83913 More extensive procedure 1
87641 83890 Misuse of column two code with column one code 1
87640 83907 Misuse of column two code with column one code 1
0148T 0147T Misuse of column two code with column one code 0
87653 83907 Misuse of column two code with column one code 1
87641 83908 Misuse of column two code with column one code 1
0148T 0150T Misuse of column two code with column one code 0
0149T 0148T More extensive procedure 0
87496 83913 More extensive procedure 1
87640 83901 Misuse of column two code with column one code 1
87640 80500 Standards of medical / surgical practice 1
0147T 0144T HCPCS/CPT coding manual instruction / guideline 0
87641 80500 Standards of medical / surgical practice 1
87533 83913 More extensive procedure 1
87491 83913 More extensive procedure 1
87641 83913 More extensive procedure 1
87653 83898 Misuse of column two code with column one code 1
87481 83913 More extensive procedure 1
87531 83913 More extensive procedure 1
0145T 0146T Misuse of column two code with column one code 0
87641 83902 More extensive procedure 1
87487 83913 Misuse of column two code with column one code 1
87640 83897 More extensive procedure 1
87534 83913 Misuse of column two code with column one code 1
87498 83900 More extensive procedure 1
87149 83913 Misuse of column two code with column one code 1
87591 83913 More extensive procedure 1
88307 89060 HCPCS/CPT coding manual instruction / guideline 1
87498 83909 Misuse of column two code with column one code 1
87540 83913 More extensive procedure 1
87541 83913 More extensive procedure 1
87498 83898 Misuse of column two code with column one code 1
87582 83913 More extensive procedure 1
88304 89060 HCPCS/CPT coding manual instruction / guideline 1
0149T 0144T HCPCS/CPT coding manual instruction / guideline 0
87551 83913 More extensive procedure 1
87640 83913 More extensive procedure 1
87498 83897 More extensive procedure 1
87532 83913 Misuse of column two code with column one code 1
87530 83913 More extensive procedure 1
87640 83912 More extensive procedure 1
87477 83913 More extensive procedure 1
87641 83901 Misuse of column two code with column one code 1
87511 83913 More extensive procedure 1
87482 83913 More extensive procedure 1
87560 83913 More extensive procedure 1
0147T 0146T More extensive procedure 0
87475 83913 More extensive procedure
87537 83913 More extensive procedure 1
87797 83913 More extensive procedure 1
87471 83913 More extensive procedure 1
87516 83913 More extensive procedure 1
87640 83894 Misuse of column two code with column one code 1
87653 83901 Misuse of column two code with column one code 1
87653 83897 Misuse of column two code with column one code 1
87476 83913 More extensive procedure 1
87480 83913 More extensive procedure 1
87498 83893 Misuse of column two code with column one code 1
88302 89060 HCPCS/CPT coding manual instruction / guideline 1
87640 80502 Standards of medical / surgical practice 1
0149T 0147T HCPCS/CPT procedure code definition 0
87641 83912 Misuse of column two code with column one code 1
87641 87640 More extensive procedure 1
87640 83909 Misuse of column two code with column one code 1
87497 83913 More extensive procedure 1
87653 83893 Misuse of column two code with column one code 1
87653 83894 Misuse of column two code with column one code 1
87498 83890 Misuse of column two code with column one code 1
87653 83900 Misuse of column two code with column one code 1
87801 87640 Misuse of column two code with column one code 1
87515 83913 More extensive procedure 1
87653 83890 Misuse of column two code with column one code 1
0150T 0144T HCPCS/CPT coding manual instruction / guideline 0
87799 83913 More extensive procedure 1
87149 87640 Misuse of column two code with column one code 1
87641 83898 Misuse of column two code with column one code 1
87640 83902 Misuse of column two code with column one code 1
87640 83908 Misuse of column two code with column one code 1
87580 83913 More extensive procedure 1
87526 83913 More extensive procedure 1
87535 83913 More extensive procedure 1
0146T 0144T HCPCS/CPT coding manual instruction / guideline 0
87660 83913 More extensive procedure 1
87498 80502 Standards of medical / surgical practice 1
87520 83913 More extensive procedure 1
87641 83892 Misuse of column two code with column one code 1
87808 80502 Standards of medical / surgical practice 1
87801 83913 More extensive procedure 1

New Mutually Exclusive Pairs (Effective: 1/1/2007)

Column 1 Column 2 STD Policy Statement B Mods Allowed
0145T 0150T Mutually exclusive procedures 0
87149 87641 Mutually exclusive procedures 1
87149 87653 Mutually exclusive procedures 1
87498 87267 Mutually exclusive procedures 1
87660 87808 Mutually exclusive procedures 1
87801 87641 Mutually exclusive procedures 1
87802 87653 Mutually exclusive procedures 1

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