National Correct Coding Initiative Edits -- Version 10.3 - Effective October 1, 2004

National Correct Coding Initiative Edits - Version 10.3 for Physicians
(Effective October 1, 2004 - December 31, 2004)

For Correct Coding Initiative (CCI) edits that apply to Medicare Part B services paid by fiscal intermediaries, please go to the following Web page: http://www.cms.hhs.gov/providers/hopps/cciedits/default.asp.


Column 1/Column 2 Correct Coding Edits (formerly Comprehensive/Component Edits)	Mutually Exclusive Edits

Column 1/Column 2 Correct Coding Edits
(formerly Comprehensive/Component Edits)

Anesthesia Services -
- CPT Codes 00100-00999 (excel file zipped 703Kb)
- CPT Codes 01000-09999(excel file zipped 555Kb)
Surgery: Integumentary System -
CPT CODES 10000-19999 (excel file zipped 205Kb)
Surgery: Musculoskeletal System -
CPT CODES 20000-29999 (excel file zipped 791Kb)
Surgery: Respiratory, Cardiovascular, Hemic and Lymphatic Systems -
CPT CODES 30000-39999 (excel file zipped 408Kb)
Surgery: Digestive System -
CPT CODES 40000-49999 (excel file zipped 403Kb)
Surgery: Urinary, Male Genital, Female Genital, Maternity Care and Delivery Systems -
CPT CODES 50000-59999 (excel file zipped 335Kb)
Surgery: Endocrine, Nervous, Eye and Ocular Adnexa, Auditory Systems -
CPT CODES 60000-69999 (excel file zipped 425Kb)
Radiology Services -
CPT CODES 70000-79999 (excel file zipped 593Kb)
Pathology and Laboratory Services -
CPT CODES 80000-89999 (excel file zipped 113Kb)
Medicine Evaluation and Management Services -
CPT CODES 90000-99999 (excel file zipped 560Kb)
Category III Codes -
CPT CODES 0001T-0099T (excel file zipped 11Kb)
Supplemental Services -
HCPCS LEVEL II Codes A0000-V9999 (excel file zipped 155Kb)

Mutually Exclusive Correct Coding Edits

Anesthesia Services -
CPT Codes 00100-09999 (excel file zipped 2Kb)
Surgery: Integumentary System -
CPT CODES 10000-19999 (excel file zipped 69Kb)
Surgery: Musculoskeletal System -
CPT CODES 20000-29999 (excel file zipped 24Kb)
Surgery: Respiratory, Cardiovascular, Hemic and Lymphatic Systems -
CPT CODES 30000-39999 (excel file zipped 29Kb)
Surgery: Digestive System -
CPT CODES 40000-49999 (excel file zipped 14Kb)
Surgery: Urinary, Male Genital, Female Genital, Maternity Care and Delivery Systems -
CPT CODES 50000-59999 (excel file zipped 11Kb)
Surgery: Endocrine, Nervous, Eye and Ocular Adnexa, Auditory Systems -
CPT CODES 60000-69999 (excel file zipped 16Kb)
Radiology Services -
CPT CODES 70000-79999 (excel file zipped 40Kb)
Pathology and Laboratory Services -
CPT CODES 80000-89999 (excel file zipped 15Kb)
Medicine Evaluation and Management Services -
CPT CODES 90000-99999 (excel file zipped 56Kb)
Category III Codes -
CPT CODES 0001T-0099T (excel file zipped 3Kb)
Supplemental Services -
HCPCS LEVEL II Codes A0000-V9999 (excel file zipped 25Kb)

NCCI Policy Manual for Part B Medicare Carriers
(Updated Oct 1, 2004)

Medicare Claims Processing Manual (Sec. 20.9)

NCCI Questions and Answers

NCCI Edits Program Transmittals

This web page is aimed at providing information to providers on Medicare's National CCI edits, but will not address specific CCI edits. If you have concerns regarding specific CCI edits, please submit your comments in writing to:

National Correct Coding Initiative
AdminaStar Federal, Inc.
P.O. Box 50469
Indianapolis, IN 46250-0469

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Last Modified on Thursday, October 07, 2004

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National Correct Coding Initiative Edits - Version 10.3 for Physicians

(Effective October 1, 2004 - December 31, 2004)

Column 1/Column 2 Correct Coding Edits(formerly Comprehensive/Component Edits)

Mutually Exclusive Correct Coding Edits

Column 1/Column 2 Correct Coding Edits
(formerly Comprehensive/Component Edits)