Please note that the following text from “National Correct Coding Initiative Update” on page 7 of the June 2011 AAP Pediatric Coding Newsletter™ (volume 6, number 9) is incorrect:
In response to the AAP requests,
1. The NCCI has no edits for code 99211 with 90460…
While the National Correct Coding Initiative (NCCI) has no edits for code 99211 with 90461, it does contain an edit on the 99211/90460 code pair, with no modifier override. This is because the NCCI decided to crosswalk the former 99211/90465 code pair to the new 99211/90460 code pair. Confusion arose because the NCCI did not implement this crosswalk in Version 17.0 (effective date January 1, 2011) but rather waited until Version 17.1 (effective date April 1, 2011).
We apologize for any inconvenience this may have caused.