General Question for the Week of March 22, 2021

General Compliance Question of the Week

Question:

Did Medicare ever fix the NCCI edit for A9570 with 78802?

Answer:

Yes, Medicare finally deleted that edit in the January 2021 edit updates which can be found at: https://www.cms.gov/Medicare/Coding/NationalCorrectCodInitEd/Version_Update_Changes
Since the Centers for Medicare & Medicaid Services (CMS) deleted the edit instead of changing it, you can go back and ask CMS to reprocess claims they may have denied.

Disclaimer: Every reasonable effort was made to ensure the accuracy of this information at the time it was published. However, due to the nature of industry changes over time we cannot guarantee its validity after the year it was published.