Some Correct Coding Initiative (CCI) edits were updated and went into effect April 1, 2015. The edits may affect the way new joint injections are reported by your practice among other changes. Joint injection codes 20604, 20606, and 20611 cannot be reported with 76942 (Ultrasonic guidance for needle placement, [e.g. biopsy, aspiration, injection, localization, device], imaging supervisor and interpretation). The reasoning is because the definition of the injection included ultrasound guidance. 76970 (Ultrasound study follow-up [specify]) is bundled by Medicare into the three injection codes with a modifier indicator of 1.
Code 22505 (Manipulation of spine requiring anesthesia, any region) should not be reported with the osteopathic manipulative treatment codes 98925-98929 or chiropractic manipulative treatment of spine 98940-98942. These edits have a modifier indicator of 0, creating an unbreakable edit pair.
New codes 62302-62305 for myelography contain a new 3-D trans esophageal echocardiography service (93355). These pairs also have a modifier indicator of 1.