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A list of Medicare coding edits by procedure

Copyright 2003 by the American College of Physicians.

You can download correct coding initiative (CCI) edits by type of service/procedure. Groupings usually correspond to the code sections that appear in CPT. Below is a look at how the edits appear on the CCI Web site.

Column 1/column 2 edits (formerly comprehensive/component edits)

Anesthesia Services
CPT codes 00100-00999
CPT codes 01000-09999

Surgery: Integumentary System
CPT codes 10000-19999

Surgery: Musculoskeletal System
CPT codes 20000-29999

Surgery: Respiratory, Cardiovascular, Hemic and Lymphatic Systems
CPT codes 30000-39999

Surgery: Digestive System
CPT codes 40000-49999

Surgery: Urinary, Male Genital, Female Genital, Maternity Care and Delivery Systems
CPT codes 50000-59999

Surgery: Endocrine, Nervous, Eye and Ocular Adnexa, Auditory Systems
CPT codes 60000-69999

Radiology Services
CPT codes 70000-79999

Pathology and Laboratory Services
CPT codes 80000-89999

Medicine Evaluation and Management Services
CPT codes 90000-99999

Category III Codes
CPT codes 0001T-0099T

Supplemental Services
HCPCS level II codes A0000-V9999

Mutually exclusive correct coding edits

Anesthesia Services
CPT codes 00100-09999

Surgery: Integumentary System
CPT codes 10000-19999

Surgery: Musculoskeletal System
CPT codes 20000-29999

Surgery: Respiratory, Cardiovascular, Hemic and Lymphatic Systems
CPT codes 30000-39999

Surgery: Digestive System
CPT codes 40000-49999

Surgery: Urinary, Male Genital, Female Genital, Maternity Care and Delivery Systems
CPT codes 50000-59999

Surgery: Endocrine, Nervous, Eye and Ocular Adnexa, Auditory Systems
CPT codes 60000-69999

Radiology Services
CPT codes 70000-79999

Pathology and Laboratory Services
CPT codes 80000-89999

Medicine Evaluation and Management Services
CPT codes 90000-99999

Category III Codes
CPT codes 0001T-0099T

Supplemental Services
HCPCS level II codes A0000-V9999

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