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What is the NCCI?
Answer:Also known as “unbundling edits,” the National Correct Coding Initiative (NCCI) is of major importance to hospitals that bill outpatient Part B services to the Medicare Part A/B MAC. Under the Outpatient Prospective Payment System (OPPS), each billable code is paid according to the APC group to which the service has been ass...
Why were PLA codes 0285U and 0365U revised in 2026?
Answer:PLA code 0285U was revised to reflect a change in the test description and methodology, specifically in how the results are reported, while 0365U was updated to provide greater clarity on the specific details and application of the test. Oncology, disease progression, and response...
When is code 36470 reported as opposed to 36471?
Answer:Codes 36470 and 36471 are intended for the injection of a sclerosant into one or more incompetent veins (typically in the lower extremity). Assign code 36470 once if only a single incompetent vein is treated, regardless of the number of injections performed. If more than one incompetent vein is...
Can we bill for the administration of nitrous oxide during labor and delivery or for other minor procedures performed at bedside?
Answer:Currently, there is no CPT/HCPCS code to report the administration of nitrous oxide, other than for use during dental procedures; however, an ICD-10-PCS code does exist for inpatient procedural reporting ...
When should we report 34717 in 2026?
Answer:Code +34717 encompasses an add-on service and must be assigned with a primary code from the 34703–34713 series. More specifically, code +34717 defines placement of an iliac bifurcated endograft (IBE). This graft extends from the common iliac artery into the internal and external iliac arteries, as well as ...