Instructions: NCCI Guidelines:
An internal audit of knee arthroscopy procedures has identified the following:
29880 and 29876 are being coded together for the same knee
1. Based on NCCI edits, elaborate on the appropriateness of this coding practice.
2. Develop a process to ensure that NCCI arthroscopy guidelines are followed.
References: Castro, A.B. and E. Forrestal. 2015. Principles of Healthcare Reimbursement, 5th edition. Chicago,:AHIMA
Centers for Medicare and Medicaid Services (2015). NCCI Policy Manual for Medicare Services. Link:
https://www.cms.gov/Medicare/Coding/NationalCorrectCodInitEd/NCCI-Coding-Edits.html
Hazelwood, A. and C. Venable. 2016. Reimbursement Methodologies. Chapter 7 in Health Information Management: Concepts, Principles, and Practice, 5th ed. Oachs, P. and A. Watters, eds. Chicago: AHIMA
