A list of Medicare coding edits by procedure
Copyright © 2003 by the American College of Physicians.
You can download correct coding initiative (CCI) edits by type of service/procedure. Groupings usually correspond to the code sections that appear in CPT. Below is a look at how the edits appear on the CCI Web site.
Column 1/column 2 edits (formerly comprehensive/component edits)
Anesthesia Services
CPT codes 00100-00999
CPT codes 01000-09999
Surgery: Integumentary System
CPT codes 10000-19999
Surgery: Musculoskeletal System
CPT codes 20000-29999
Surgery: Respiratory, Cardiovascular, Hemic and Lymphatic Systems
CPT codes 30000-39999
Surgery: Digestive System
CPT codes 40000-49999
Surgery: Urinary, Male Genital, Female Genital, Maternity Care and Delivery Systems
CPT codes 50000-59999
Surgery: Endocrine, Nervous, Eye and Ocular Adnexa, Auditory Systems
CPT codes 60000-69999
Radiology Services
CPT codes 70000-79999
Pathology and Laboratory Services
CPT codes 80000-89999
Medicine Evaluation and Management Services
CPT codes 90000-99999
Category III Codes
CPT codes 0001T-0099T
Supplemental Services
HCPCS level II codes A0000-V9999
Mutually exclusive correct coding edits
Anesthesia Services
CPT codes 00100-09999
Surgery: Integumentary System
CPT codes 10000-19999
Surgery: Musculoskeletal System
CPT codes 20000-29999
Surgery: Respiratory, Cardiovascular, Hemic and Lymphatic Systems
CPT codes 30000-39999
Surgery: Digestive System
CPT codes 40000-49999
Surgery: Urinary, Male Genital, Female Genital, Maternity Care and Delivery Systems
CPT codes 50000-59999
Surgery: Endocrine, Nervous, Eye and Ocular Adnexa, Auditory Systems
CPT codes 60000-69999
Radiology Services
CPT codes 70000-79999
Pathology and Laboratory Services
CPT codes 80000-89999
Medicine Evaluation and Management Services
CPT codes 90000-99999
Category III Codes
CPT codes 0001T-0099T
Supplemental Services
HCPCS level II codes A0000-V9999
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