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Application of critical care Correct Coding Initiative (CCI) edits to hospitals

Effective January 1, 2009, the CCI edits for evaluation and management (E&M), including critical care, apply to hospitals. Two prior-existing frequently asked questions (FAQ) have been updated to reflect these changes. The updated FAQs are FAQ 8813 and FAQ 2392. Prior to January 1, 2009, not all CCI edits that applied to physician services also applied to comparable hospital services. In particular, those CCI edits that applied to physician E&M services (including critical care) were not incorporated into the Outpatient Code Editor (OCE) for application to hospital E&M services. [more]