CCI Edit Policy

The Policy will be revised, implementing mutually exclusive edits that are not presently administered in other UnitedHealthcare reimbursement policies. Mutually exclusive edits are code pairs that should not be reported together for a number of reasons explained in the CMS National Correct Initiative Coding Policy Manual for Medicare services. Following CMS methodology, UnitedHealthcare will reimburse for the code with the lower RVU value.

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INDUSTRY NEWS TAGS: United Healthcare

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