Regence BlueShield utilizes Medicare’s National Correct Coding Initiative (NCCI) as the basis for it’s clinical edits. NCCI identifies pairs of services that normally should not be billed by the same physician for the same patient on the same day. NCCI also promotes uniformity among the contractors that process Medicare claims in interpreting Medicare payment policies. CMS has made the NCCI edits available on their Website.
Regence BlueShield has identified code pair edits to be used as a supplement to Medicare's NCCI. These code pair edits were developed using nationally accepted, logical and predictable coding principles. In arriving at these supplemental coding edits, Regence BlueShield Correct Code Editor (CCE), the following were taken into consideration:
1. CPT manual, including code definitions and associated text
2. CPT Assistant
3. Centers for Medicare & Medicaid Services (CMS)
4. The CMS Federal Register
5. Medicare Part B News
6. HCPCS manual
To provide feedback or get clarification about the Regence BlueShield CCE code pairs, please
e-mail us.
Note: Please do not use this e-mail link for claims questions. Claims questions should be referred to customer service at: 1 (800) 322-1737 |
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Please select from the following Regence BlueShield
Correct Code Editors (supplement to NCCI):
Supplement
to CCI Version 13.2
For dates of service beginning July 1, 2007 |
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Supplement to CCI Version 13.1
For dates of service beginning April 1, 2007 |
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Supplement to CCI Version 13.0
For dates of service beginning January 1, 2007 |
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Supplement to CCI Version
12.3
For dates of service beginning October 1, 2006 |
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Supplement to CCI Version
12.2
For dates of service beginning July 1, 2006 |
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Supplement to CCI Version
12.1
For dates of service beginning April 1, 2006 |
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Supplement to CCI Version
11.3
For dates of service beginning October 1, 2005 |
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Supplement to CCI Version
11.2
For dates of service beginning July 1, 2005 |
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Supplement to CCI Version
11.1
For dates of service beginning April 1, 2005 |
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How to search within the document:
You can use the Find command to locate all occurrences
of a HCPCS/CPT code in the correct coding edits file.
To find a code using the Find command:
- Open the document by clicking on the document link.
- Click the binoculars icon in the Adobe Acrobat Reader
toolbar, located inside your browser window.
- Enter the HCPCS/CPT code in the "Find What"
box.
- Select any of the find options, and then click "Find".
Acrobat Reader finds the first occurrence of the word
or number.
- Click the binoculars with the curved arrow in the
Adobe Acrobat Reader toolbar to find additional occurrences
of the code you entered.
Printing sections of PDF documents:
These supplemental edit documents are very large,
over 100 pages in some instances. Therefore, we recommend
you do not print the entire document, but rather select
the individual pages or sections to be printed. You can
specify a range of pages to print in the Print dialog
box:
- Click on the printer icon in the Adobe Acrobat Reader
toolbar, located inside your browser window.
- Specify the printer, paper range, number of copies
and other options, then click OK.
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