Edition Bundle
Latest CCI Edits Highlight Pulmonary Rehab With Mutually and NME Edits
Do you have to commonly report pulmonary rehab code G0424? If so, you need to pay attention to the latest CCI edits version 16.3, which went into effect on October 1 this year. Three of the 33 just-in mutually exclusive pairs concern pulmonologists, while non-mutually exclusive edits include 150 bundles representing pulmonary rehab.
Highlight these ME pulmonary rehab pairs
In the latest CCI edits, only three ME edits should impact pulmonologists. ME edits mean the code pair represents procedures or services that could not reasonably be carried out at the same session by the same provider on the same beneficiary. Medicare will only pay you for the lesser-valued of the two procedures.
The just-in comprehensive pulmonary rehab (PR) code G0424 (Pulmonary rehabilitation, including exercise and monitoring, per hour, per session) is mutually exclusive with the three older PR codes: G0237, G0238, G0239.
Pulmonary rehab services are mutually exclusive of respiratory therapy services that can be included as part of the pulmonary rehab session.
Note: CCI assigns a modifier indicator of '0' to all of these edit pairs, which means you cannot override the edit by reporting the right modifier (like modifier 59, distinct procedural service). In a nutshell, you cannot report the procedures together under any circumstances.
What modifier indicator '1' means
Furthermore, the latest CCI edits categorize G0424 as a comprehensive non-mutually exclusive bundle of the following component codes in physical medicine and rehabilitation.
Laboratory procedures and interpretation of test results, such as 94010, 94200 and 94680, physical/occupational therapy (re)evaluation, such as 97001-97004, therapeutic procedures, such as 97110 and 97530, Tests and measurements, such as 97750.
What's more, medical nutrition therapy codes (97802-97804) are a component of the procedure G0424. Pulmonary rehab includes physician-prescribed exercise, education and training, psychosocial assessment, outcome assessment, and all monitoring carried out on the same day.
Remember: Non-mutually exclusive edits pair codes for two services that doctors often carry out during the same session. CCI lists one code as the comprehensive procedure which means it is considered the larger procedure and the second code as the component which is a piece of the comprehensive. All non-mutually exclusive edits for pulmonology carry a "1" indicator – with the exception of 94667, 94668 and 94770 which carry an indicator of '0'.
Bundles with a '1' indicator means you can report both procedures of a pair in certain, although unlikely circumstances. These circumstances cover performing the procedures at separate sessions on the same day.
About the Author
We provide you simple, instant connection to official code descriptors & guidelines and other tools for 2010 CPT code, HCPCS lookup that help coders and billers to excel in the work they do every day.
New PSP Limited Edition Holiday Bundle!!!
 |
 NEW PS3 Resistance 3 Doomsday Edition Move Sharpshooter Bundle Playstation 3 $99.90 Time Remaining: 27d 19h 39m Buy It Now for only: $99.90 Buy It Now |
 The Beatles Rock Band Limited Edition Premium Bundle Sony PS 3 9 2009 $41.00 (4 Bids) Time Remaining: 15h 28m |
 Microsoft Xbox 360 Kinect Star Wars Limited Edition bundle 320 GB incl 2 games $369.00 Time Remaining: 3d 7h 57m |
 PHILIPS SONICARE ELITE LIMITED EDITION RECHARGEABLE TOOTHBRUSH BUNDLENew $106.99 Time Remaining: 21d 7h 5m Buy It Now for only: $106.99 Buy It Now |
 BRAND NEW Limited Edition PS3 METAL GEAR SOLID 4 BUNDLE 40 GB GRAY CONSOLE $350.00 Time Remaining: 2d 16h 21m Buy It Now for only: $600.00 Buy It Now |
 Settlers of Catan 4th Edition Bundle $49.60 Time Remaining: 15d 14h 32m Buy It Now for only: $49.60 Buy It Now |
 Provo Craft Your Story Book Binder Laminator Machine Bundle Edition $21.50 (2 Bids) Time Remaining: 2d 21h 27m |
 Underground Clinical Vignettes Step 1 Bundle 9 books Fifth Edition $85.00 (2 Bids) Time Remaining: 4h |
 Brand New LittleBigPlanet 2 Special Edition Move Bundle $95.99 Time Remaining: 2d 13h 59m Buy It Now for only: $95.99 Buy It Now |
 NEW Nintendo DSi System Pokemon Black Limited Edition Bundle With Game And Case $76.00 (15 Bids) Time Remaining: 2d 9h 50m |
 Nintendo DSi XL Mario Bros 25th Anniversary Edition Handheld System Bundle Used $119.99 Time Remaining: 29d 11h 55m Buy It Now for only: $119.99 Buy It Now |
 Nintendo DSi Pokemon Black Reshiram Zekrom Limited Edition Etched Console Bundle $71.17 (17 Bids) Time Remaining: 1d 16h |
 PlayStation 3 Limited Edition 80GB ConsoleBUNDLESEGAATARI3DOPS1PS2 $489.00 Time Remaining: 16h 32m |
 Nintendo GAMECUBE Pokemon XD Limited Edition Bundle Platinum Console System $14.99 Time Remaining: 29d 14h 40m Buy It Now for only: $14.99 Buy It Now |
 Sony Playstation VITA 3G WIFI CAMERA EXTREME BUNDLE SPECIAL EDIT NIB 49999 $227.50 (18 Bids) Time Remaining: 3d 15h 43m |
 Singapore Math PM Books Bundle US Edition Grade 2 $70.00 Time Remaining: 29d 14h 31m Buy It Now for only: $70.00 Buy It Now |
 The Legend of Zelda Skyward Sword Limited Edition Gold Remote Bundle $66.00 (14 Bids) Time Remaining: 11h 49m |
 Saxon Algebra 1 Bundle 3rd Edition 2003 $31.00 (6 Bids) Time Remaining: 1d 19h 10m |
 New Stewarts Calculus Early Transcendentals 6th AP Edition BUNDLE KIT $55.00 Time Remaining: 3d 14h 48m Buy It Now for only: $55.00 Buy It Now |
 Apologia Exploring Creation with Chemistry 2nd Edition Bundle $33.00 (1 Bid) Time Remaining: 1d 14h 55m |
 DJ Hero 2 Party Bundle Edition Sony Playstation 3 2010 $39.50 Time Remaining: 9h 7m Buy It Now for only: $39.50 Buy It Now |
 Xbox 360 Kinect Special Edition Bundle Rtl 400 $127.50 (10 Bids) Time Remaining: 5d 18h 9m |
 HP Mini 110 Windows XP Edition Pink Bundle $235.00 Time Remaining: 2d 6h 43m Buy It Now for only: $275.00 Buy It Now |
 Oscar Schmidt by Washburn OU5S Limited Edition Soprano Ukulele Bundle $129.99 Time Remaining: 19d 19h 25m Buy It Now for only: $129.99 Buy It Now |
 BRAND NEW ROCK BAND 2 SPECIAL EDITION PS3 PLAYSTATION 3 BUNDLE DRUMS MIC GUITAR $189.99 Time Remaining: 19h 1m |
 RARE NINTENDO 64 SYSTEM IN BOX BOXED AND ZELDA COLLECTORS EDITION Game Bundle $119.99 Time Remaining: 27d 16h 50m Buy It Now for only: $119.99 Buy It Now |
 Sony PSP 3000 Assassins Creed Bloodlines Limited Edition Bundle Pearl White $70.00 (1 Bid) Time Remaining: 2d 20h 27m |
 Nintendo GAMECUBE Limited Edition Platinum Console System NTSC BUNDLE $10.50 (11 Bids) Time Remaining: 2d 13h 34m |
 DJ Hero 2 Turntable Bundle Edition Sony Playstation 3 2010 Game Is Included $34.95 Time Remaining: 29d 15h 31m Buy It Now for only: $34.95 Buy It Now |
 Wii ROCK BAND Special Edition Bundle + Guitar Hero 3 Aerosmith + Guitar $81.00 (5 Bids) Time Remaining: 1d 4h 13m |
 Microsoft Xbox Crystal Limited Edition 8 GB Translucent Console NTSC Bundle $114.99 Time Remaining: 19d 20h 27m Buy It Now for only: $114.99 Buy It Now |
 Sony PSP 3000 Kingdom Hearts Birth By Sleep Limited Edition Bundle Mystic $51.00 (12 Bids) Time Remaining: 3d 17h 10m |
 Sony PlayStation Vita 3G + Wifi First Edition Bundle $40.00 (1 Bid) Time Remaining: 2d 16h 9m |
 Flames of War Rule Book 3rd Edition Bundle Hardback With FREE Mini Rulebook $56.00 Time Remaining: 6d 16h 43m Buy It Now for only: $56.00 Buy It Now |
 BUNDLE Nintendo Game Boy Color Pokemon Pikachu Edition Yellow Handheld $36.00 (29 Bids) Time Remaining: 2d 15h 3m |
 NINTENDO DSi POKEMON BLACK LIMITED EDITION BUNDLE With GAME CASE NEW $144.95 Time Remaining: 24d 20h 58m Buy It Now for only: $144.95 Buy It Now |
 BUNDLE Dark Souls Collectors Edition Strategy Guide AND Demons Souls $50.00 (1 Bid) Time Remaining: 3d 6h 49m |
 Xbox 360 320 GB Limited Edition Star Wars Kinect Bundle $390.00 Time Remaining: 20h 57m |
 TurboCAD Pro 17 Platinum Edition CAD Software with Mechanical Training Bundle $299.95 Time Remaining: 1d 29m Buy It Now for only: $299.95 Buy It Now |
 PSP 3000 Ratchet and Clank Limited Edition Bundle Mystic Silver with Bonus Book $110.00 Time Remaining: 6h 55m |
 China Banknotes 1980 edition A bundle of 100 pcsface value RMB 1 Jiao UNCVF $4.56 Time Remaining: 19d 22h 50m Buy It Now for only: $4.56 Buy It Now |
 Nintendo Wii Red Limited Edition Super Mario Bundle $89.99 Time Remaining: 1d 14h 43m |
 PSVITA Sony PlayStation Vita First Edition Bundle 3G Wi Fi Game 4GB Card Case $384.99 Time Remaining: 1d 18h 38m Buy It Now for only: $434.99 Buy It Now |
 Nintendo GAMECUBE Pokemon XD Limited Edition Bundle Platinum Console Free Ship $49.99 Time Remaining: 25d 14h 29m Buy It Now for only: $49.99 Buy It Now |
 Algebra I Teaching Textbook Bundle 1st Edition Greg Sabouri $10.00 (1 Bid) Time Remaining: 4d 7h 53m |
 ACE Fitness Personal Trainer 4th Edition Complete self study bundle exams NEW $419.00 Time Remaining: 29d 5h 28m Buy It Now for only: $419.00 Buy It Now |
 GoPro HD HERO2 Surf Edition with case and wrist mount bundle $399.00 (1 Bid) Time Remaining: 10h 53m |
 Nintendo Dsi Pokemon Black Reshiram Zekrom Edition System Bundle BIN FREE SHIP $127.00 Time Remaining: 23h 16m Buy It Now for only: $139.99 Buy It Now |
 DJ Hero 2 Party Bundle Edition Xbox 360 2010 $39.50 Time Remaining: 6d 11h 20m Buy It Now for only: $39.50 Buy It Now |
 Xbox 360 Slim Gears of War 3 Limited Edition 320 GB bundle pack w 10 games $275.00 (1 Bid) Time Remaining: 1d 23h 2m |
 Call of Duty: Black Ops List Price: Sale Price: Too low to display  Eligible for free shipping!Availability: Usually ships in 24 hours See Reviews For This Product DescriptionCall of Duty: Black Ops is a first-person shooter with stealth and tactical play aspect that puts players in the role of a shadow soldier fighting in a variety of historically representative fictional Black Ops missions of the Cold War era...  |
 Halo Reach List Price: Sale Price: $49.23 You save: $10.76 (18%) Eligible for free shipping!Availability: Usually ships in 24 hours See Reviews For This Product DescriptionIn Halo: Reach, the blockbuster prequel to the Halo trilogy, experience the events that transpired on the planet Reach. |
 Wii Hardware Bundle - Red Sale Price: $199.99 Eligible for free shipping!Availability: Usually ships in 24 hours See Reviews For This Product DescriptionTo commemorate the 25th anniversary of the Super Mario Bros. game franchise Nintendo is releasing a special, Wii gaming system bundle for the 2010-2011 holiday season. The bundle includes beautiful limited edition red versions of the Wii gaming console and the Wii Remote Plus controller, Nintendo's new standard game controller for Wii that incorporates the strengths of the original Wii Remote and the Wii MotionPlus accessory all in one controller... |
 Xbox 360 250GB Console with Kinect Sale Price: $482.00 See Reviews For This Product DescriptionThe Special Edition Xbox 360 250GB Console with Kinect. Kinect brings games and entertainment to life in extraordinary new ways-no controller required. Easy to use and instantly fun, Kinect gets everyone off the couch moving, laughing, and cheering... |
 Nintendo DSi XL Red Bundle with Mario Kart Sale Price: $179.99 Eligible for free shipping!Availability: Usually ships in 24 hours See Reviews For This Product DescriptionTo commemorate the 25th anniversary Super Mario Bros. game franchise, Nintendo is releasing a special, DSi XL gaming system bundle for the 2010-2011 holiday season. The bundle is headlined by a beautiful special edition version of the DSi XL handheld console in Mario's favorite color, red... |
 Kinectimals List Price: Sale Price: $46.99 You save: $3.00 (6%) Eligible for free shipping!Availability: Usually ships in 24 hours See Reviews For This Product DescriptionKinectimals invites children, their parents and animal lovers of all ages to build lasting friendships with some of the world's most exotic creatures. Just like real pets, your Kinectimals will come running when they hear your voice, respond to commands like jump, roll-over and play dead, and purr with joy when you scratch them behind the ears. |
 Wii Nunchuk Controller - Black List Price: Sale Price: $17.54 You save: $2.45 (12%) Eligible for free shipping!Availability: Usually ships in 24 hours See Reviews For This Product DescriptionThe Wii Nunchuk controller is a secondary controller that adds even more innovation to the next generation of gaming, and does it all with less physical movement. Used in conjunction with the standard Wii remote, certain games need the Nunchuk controller for additional control options... |
 PlayStation 3 320GB System with PlayStation Move Bundle List Price: Sale Price: $399.00 You save: $0.99 (%) Eligible for free shipping!Availability: Usually ships in 24 hours See Reviews For This Product DescriptionThe PlayStation Move 320 GB console bundle is the ultimate way for players to discover the extreme power, versatility and sensitivity of both the PlayStation 3 and the PlayStation Move motion controlled gaming system... |
 NBA 2K11 List Price: Sale Price: $54.99 You save: $5.00 (8%) Eligible for free shipping!Availability: Usually ships in 24 hours See Reviews For This Product DescriptionWhen you're the #1 selling NBA videogame two years in a row, the #1 rated NBA videogame 10 years in a row, and have collaborated with back-to-back NBA champions, Kevin Garnett (2K9) and Kobe Bryant (2K10) - what is NBA 2K11 to do for the next act? Simple: Michael Jordan... |
 PlayStation Move Navigation Controller List Price: Sale Price: $29.49 You save: $0.50 (2%) Eligible for free shipping!See Reviews For This Product DescriptionPlayStation Move offers a new and innovative gaming experience for the PlayStation 3 (PS3) system by fusing realistic, high-definition gaming along with accurate, intuitive control. Consisting of PlayStation Move motion controller, PlayStation Move Navigation Controller and PlayStation Eye camera*, PlayStation Move enables sophisticated motion control and immersive gameplay only possible on the PS3 system... |
