A new baby in the family is considered a bundle of joy by friends and family members alike. New “bundled” CPT codes arriving January 1st each year are not so well received. Why? Because new CPT bundled codes invariably decrease revenue.
Two types of CPT code bundling
NCCI edits published by Medicare
One is the familiar National Correct Coding Initiative (NCCI) edits published by Medicare and updated quarterly. The procedure-to-procedure edits define services that are considered components of another service, and whether or not a modifier is allowed, that would bypass the edit.
There are also mutually exclusive edits defining two services that could not be performed together, such as a hysterectomy removed both vaginally and abdominally. And there are medically unbelievable edits often related to units. This would deny amputating 11 fingers.