Update on NCCI Edits from BCBS
ProviderFacts 2014-023 announced that the modifier exclusion for the new NCCI edits that bundle CPT® consult codes
99241–99245 into spirometry CPT codes 94010 and 94060 would be removed effective May 1, 2014, in anticipation
of the CMS changing the edit with the July 1, 2014, NCCI quarterly update. Recently, CMS made a decision to remove
the January 1, 2014, edits that bundle consult codes into spirometry codes. Therefore, please disregard the changes
announced in ProviderFacts 2014-023. The new edits will be loaded into our claims processing system this month with a
retroactive removal date of January 1, 2014. As soon as the updated edits are loaded, denied claims will be reprocessed.
Information obtained from BCBS Provider Facts 2014-032: https://www.bcbsal.org/providers/publications/providerFacts/2014-032.pdf