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.