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Regence BlueCrossBlueShield of Oregon Correct Code Editor
Regence BlueCross BlueShield of Oregon (Regence BCBSO) utilizes Medicare’s National Correct Coding Initiative (NCCI) as the basis for clinical edits. NCCI identifies pairs of services that normally should not be billed by the same physician for the same patient on the same day. NCCI also promotes uniformity among the contractors that process Medicare claims in interpreting Medicare payment policies.
Regence BCBSO has identified additional code pair edits to be used as a supplement to Medicare's NCCI. These code pair edits were developed using nationally accepted, logical and predictable coding principles. In arriving at these supplemental coding edits, Regence BCBSO Correct Code Editor (CCE), the following were taken into consideration:
1. CPT manual, including code definitions and associated text
2. CPT Assistant
3. Centers for Medicare & Medicaid Services (CMS)
4. The CMS Federal Register
5. Medicare Part B News
6. HCPCS manual
To provide feedback or get clarification about
the Regence BCBSO CCE code pairs, please contact your provider
relations representative.
CCE supplement
to CCI version 18.1
For dates of service beginning April 1, 2012 |
Complete Lists
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Added Code Pair Edits Do Not Bypass with Modifier -59 (effective 7/1/2012)
Deleted Code Pair Edits
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CCE supplement to CCI version 18.0
For dates of service beginning January 1, 2012 |
Complete Lists
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Deleted Code Pair Edits
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CCE supplement to CCI version 17.3
For dates of service beginning October 1, 2011 |
Complete Lists
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Added Code Pair Edits - effective 1/1/2012
Deleted Code Pair Edits
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CCE supplement to CCI
version 17.2
For dates of service beginning July 1, 2011 |
Complete Lists
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Added Code Pair Edits - effective 10/1/2011
Deleted Code Pair Edits
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CCE supplement to CCI
version 17.1
For dates of service beginning April 1, 2011 |
Complete Lists
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Added Code Pair Edits - effective 7/1/2011
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Please contact your provider relations representative for copies of previous lists.
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