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  • Posted by 1 year ago. There are 2 posts. The latest reply is from .

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  1. If I cannot find my two code pairs in the CCI edits, how do I know which code would be considered a column 1 code and which would be considered a column 2 code so that I could put my modifier on the correct code?
    Judy

  2. If the codes are not listed, the codes are not bundled per CCI. You would not need a modifier to override the edit when appropriate.

    A private payer could have a black box edit. You would need to check with a rep for a recommendation (Good luck!).

    You can also find Medicare’s other allowed modifier’s in the Physician Fee Schedule. Columns Y-AC indicate if modifier 51, 50 etc. apply.

    This info is also in Supercoder's fee schedule information (http://www.supercoder.com/coders-toolkit/fee-schedule/). In October, we’ll have this in an easier to read view.

    Jen Godreau, CPC, CPEDC
    Content Director, Supercoder.com

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