NCCI Edits Version 23.3 Released

October 2, 2017
Rick Gawenda
The Centers for Medicare and Medicaid Services has released the National Correct Coding Initiative (NCCI) Version 23.3 edits. Version 23.3 is in effect for dates of services October 1 – December 31, 2017.  
Gawenda Seminars & Consulting has created a “cheat sheet” for the use of modifier 59 in outpatient therapy. This “cheat sheet” includes the most commonly used CPT codes by PT, OT and SLP and lists what can and can’t be billed on the same date of service by the same provider and tells you which CPT codes require modifier 59 when provided on the same day as another CPT code.
To access this great tool, click HERE.

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This article is not intended to and does not serve as legal advice or as consultative services, but is for general information purposes only.

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    1. You would need to check with that insurance carrier and that specific plan that is covering the patient for therapy services.