Regence BlueShield utilizes Medicare’s National Correct Coding Initiative (NCCI) as the basis for clinical edits. NCCI identifies pairs of services that normally should not be billed by the same physician for the same patient on the same day. NCCI also promotes uniformity among the contractors that process Medicare claims in interpreting Medicare payment policies.
Regence BlueShield has identified code pair edits to be used as a supplement to Medicare's NCCI. These code pair edits were developed using nationally accepted, logical and predictable coding principles. In arriving at these supplemental coding edits, Regence BlueShield Correct Code Editor (CCE), the following were taken into consideration:
1. CPT manual, including code definitions and associated text
2. CPT Assistant
3. Centers for Medicare & Medicaid Services (CMS)
4. The CMS Federal Register
5. Medicare Part B News
6. HCPCS manual
To provide feedback or get clarification about the Regence BlueShield CCE code pairs, please contact your Provider Consultant.
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Please select from the following Regence BlueShield
Correct Code Editors (supplement to NCCI):
CCE supplement
to CCI version 18.1
For dates of service beginning April 1, 2012 |
Complete Lists
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Added Code Pair Edits Do Not Bypass with Modifier -59 (effective 7/1/2012)
Deleted Code Pair Edits
|
CCE supplement to CCI version 18.0
For dates of service beginning January 1, 2012 |
Complete Lists
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Deleted Code Pair Edits
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CCE supplement to CCI version 17.3
For dates of service beginning October 1, 2011 |
Complete Lists
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Added Code Pair Edits - effective 1/1/2012
Deleted Code Pair Edits
|
CCE supplement
to CCI version 17.2
For dates of service beginning July 1, 2011 |
Complete Lists
|
Added Code Pair Edits - effective 10/1/2011
Deleted Code Pair Edits
|
CCE supplement
to CCI version 17.1
For dates of service beginning April 1, 2011 |
Complete Lists
|
Added Code Pair Edits - effective 7/1/2011
|
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Please contact your Provider Consultant for copies of previous lists.
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