The following examples challenge you to determine the correct procedure codes based on instruction from Current Procedural Terminology (CPT®) or in compliance with the Medicaid National Correct Coding Initiative (NCCI) edits. The procedure codes that apply will be one of the following codes. See answers elsewhere in this newsletter.

Modifier 76 (repeat procedure), 59 (distinct procedural service), or XE (separate encounter) may be required in some instances. (See “Inhalation Treatments: Understanding CPT® and Medicaid Instructions” in this month’s Online Exclusives for more information on this topic.)

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