NCCI
A set of medical coding edit rules maintained by the U.S. CMS that specifies which codes may be billed together and which must be bundled, structured as a hierarchical one-to-many relationship.
Timeline (last 90 days)
CARC CO-97 means the procedure was unbundled, violating NCCI bundling rules.
NCCI rules are a set of coding edit rules maintained by CMS in the U.S. that determine which medical codes can be billed together and which must be bundled.
Under NCCI rules, CPT 93000 (12-lead ECG including interpretation and report) includes CPT 93010 (interpretation and report only), and the two cannot be billed together.
All Facts (3)
CARC CO-97 means the procedure was unbundled, violating NCCI bundling rules.
50%UnverifiedNCCI rules are a set of coding edit rules maintained by CMS in the U.S. that determine which medical codes can be billed together and which must be bundled.
50%UnverifiedUnder NCCI rules, CPT 93000 (12-lead ECG including interpretation and report) includes CPT 93010 (interpretation and report only), and the two cannot be billed together.
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