FAQ – CCI Edits – SLP

Question  – Posted February 3, 2014

Can I be reimbursed for both CPT code 92522 (Evaluation of speech production) and CPT code 92523 (Eval of speech production; with evaluation of language comprehension and expression) if both are completed and billed on the same day?

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Question – Posted February 3, 2014

Can the 4 new SLP evaluation codes that became effective January 1, 2014 be billed together on the same day?

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Question – Posted February 3, 2014

How often does the Centers for Medicare and Medicaid Services (CMS) update CCI edits?

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Question – Posted February 3, 2014

Why doesn’t modifier 59 go on both the CPT code in column 1 and in column 2?

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Question – Posted February 3, 2014
How do I know which CPT code to place modifier 59 on? Does modifier 59 go
on the CPT code in Column 1 or in Column 2?

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Question – Posted February 3, 2014

What does Column 1 mean for in the Column 1/Column 2 correct coding edits table?

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Question – Posted February 3, 2014

At one time, CMS had two different sets of CCI edits. One was called mutually exclusive and the other was called Column 2. What happened to the mutually exclusive edits?

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Question – Posted February 3, 2014

Do private insurance carriers and Medicaid programs utilize NCCI edits as Medicare does?

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Question – Posted February 3, 2014

Do NCCI edits apply only to outpatient therapy services under the Medicare program?

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Question – Posted February 3, 2014

What is the purpose of NCCI edits?

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Question – Posted February 3, 2014

Why were National Correct Coding Initiative (NCCI) edits developed?

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