Version 18.0 of the Centers for Medicare & Medicaid Services National Correct Coding Initiative (NCCI) edits has been published. There are no edits involving new car seat/bed testing Current Procedural Terminology codes 94780 and 94781 and evaluation and management (E/M) codes used to report subsequent inpatient hospital care (99231–99233 and 99238, 99239), problem-oriented office or outpatient E/M services (99201–99215), or preventive medicine services (99381 or 99391).

Services that are paired with codes 94780 and 94781 include only those that are already integral components of the car seat/bed testing codes.

Therefore, it is not necessary to append modifier 25 (significant, separately identifiable E/M service) when reporting code(s) 94780 and 94781 in addition to an E/M service. However, although the NCCI does not include an edit for codes 94780 and 94781 and an E/M service, some payers may require that modifier 25 be appended to the...

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