We've noticed that the NCCI code pairs in the physician version for 04/01/2009 have nearly doubled this quarter! For this and other customer requests, we held a webinar today on NCCI and MUE. Check the What's New in the product for the Study Aid in the MediNotes collection. There you will also find a copy of the presentation slides. Comment to this posting if you have any follow up questions, want to make comments, or wish to start a deeper dialogue about NCCI Issues!
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How to report reasonable & necessary units > MUE value!
See CMS FAQ 8736: How do I report medically reasonable and necessary units of service in excess of a Medically Unlikely Edit (MUE) value?
Q8736 Answer: Since each line of a claim is adjudicated separately against the MUE value for the code on that line, the appropriate use of Current Procedural Terminology (CPT) modifiers to report the same code on separate lines of a claim will enable a provider/supplier to report medically reasonable and necessary units of service in excess of an MUE value. CPT modifiers such as -76 (repeat procedure by same physician), -77 (repeat procedure by another physician), anatomic modifiers (e.g., RT, LT, F1, F2), -91 (repeat clinical diagnostic laboratory test), and -59 (distinct procedural service) will accomplish this purpose. Modifier -59 should be utilized only if no other modifier describes the service.