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Quarterly Update to CCI Edits, Version 11.1

April 1, 2005

The Centers for Medicare & Medicaid Services (CMS) has released the Quarterly Update to Correct Coding Initiative (CCI) edits, Version 11.1, effective April 01, 2005.

Version 11.1 will include all previous versions and updates from January 01, 1996, to the present and will be organized into tables. Table 1 contains Column 1/Column 2 Correct Coding Edits and table 2 contains Mutually Exclusive Code (MEC) Edits. The current update reflects the following changes:

Correct Coding Edits

Column 1 Column 2 Effective Date Modifier*
84481 84480 2005/04/01 1
87140 87269 2005/04/01 1
87147 87329 2005/04/01 1
87253 87269 2005/04/01 1
87253 87329 2005/04/01 1
87253 87660 2005/04/01 1
87254 87269 2005/04/01 1
88161 88160 2005/04/01 0

* 0=not allowed 1=allowed 9=not applicable

Mutually Exclusive Edits

Column 1 Column 2 Effective Date Modifier*
84160 84156 2005/04/01 1
84160 84157 2005/04/01 1
87149 87660 2005/04/01 1

* 0=not allowed 1=allowed 9=not applicable

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