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CCI Policy Manual
01/01/2024
by: Correct Coding Initiative
01/01/2023
by: Correct Coding Initiative
01/01/2022
by: Correct Coding Initiative
01/01/2021
by: Correct Coding Initiative
01/01/2020
by: Correct Coding Initiative
01/01/2019
by: Correct Coding Initiative
01/01/2018
by: Correct Coding Initiative
01/01/2017
by: Centers for Medicare & Medicaid Services
National Correct Coding Initiative Policy Manual for Medicare Services
Revision Date: 1/1/2017
01/01/2017
by: Centers for Medicare & Medicaid Services
Introduction
On December 19, 1989, the Omnibus Budget Reconciliation Act of 1989 (P.L. 101-239) was enacted. Section 6102 of P.L. 101-239 amended Title XVIII of the Social Security Act (the Act) by adding a new section 1848, “Payment for Physicians' Services”. This section of the Act provided for replacing the previous reasonable charge mechanism of actual, customary, and prevailing charges with a resource-based relative value scale (RBRVS) fee schedule that began in 1992.
01/01/2017
by: Centers for Medicare & Medicaid Services
General Correct Coding Policies
A. Introduction
Healthcare providers utilize HCPCS/CPT codes to report medical services performed on patients to Medicare Carriers (A/B MACs processing practitioner service claims) and Fiscal Intermediaries (FIs). HCPCS (Healthcare Common Procedure Coding System) consists of Level I CPT (Current Procedural Terminology) codes and Level II codes. CPT codes are defined in the American Medical Association’s (AMA’s) CPT Manual which is updated and published annually. HCPCS Level II codes are defined by the Centers for Medicare & Medicaid Services (CMS) and are updated throughout the year as necessary. Changes in CPT codes are approved by the AMA CPT Editorial Panel which meets three times per year.

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