Laboratory Question for the Week of September 25, 2017

Laboratory Compliance Question of the Week

Question:

The CCI code-pair edits include a column with a modifier indicator—sometimes 0, 1, or 2. What do each of these represent?

Answer:

Each of the Column 1/Column 2 code pairs in the National Correct Coding Initiative (CCI) is associated with one of the following modifier indicators, which are listed in the table:

  • An indicator of 0 means a modifier may never be attached to the code.
  • An indicator of 1 means a NCCI-associated modifier may be used to over-ride the edit, as long as documentation supports its use.
  • An indicator of 9 means that an edit has been rescinded or is no longer valid.

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.