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Note: The CCI edits on this Web page are a modified subset of the National Correct Coding Initiative (NCCI) edits. The CCI edits on this Web page are specifically for Medicare Part B hospital outpatient services paid under the OPPS. For NCCI edits that apply to Medicare Part B services paid by Medicare carriers, please go to the following Web page: http://www.cms.hhs.gov/physicians/cciedits/. PLEASE KEEP IN MIND: Quarterly CCI updates used by Medicare FIs are 1 calendar quarter behind NCCI updates used by Medicare carriers. The Outpatient Code Editor (OCE) does not include CCI edits for the following: anesthesiology, evaluation & management, mental health, certain injections, derma bond, and computer-aided detection devices. Bypass modifiers and coding pairs in the OCE may differ from those in the NCCI because of differences between facility and professional services.
Last Modified on Thursday, September 30, 2004
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Centers for Medicare & Medicaid Services
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