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AMA Could Develop Its Own Correct Coding Initiative
Are you ready for another layer of coding oversight?


The CPT guidelines have always specified some codes that you shouldn't bill together, or codes to bill as add-ons. But now the American Medical Association (AMA) could be going much further.

This June, the AMA should present a report to its House of Delegates on the results of a resolution the Delegates passed last summer. The resolution calls on the AMA to study "the feasibility of developing a national standard for the utilization of codes, code combination, and modifiers that is consistent with all CPT codes, guidelines, and conventions, and that would be used by all commercial and governmental payers."

In essence, the AMA could develop its own version of the National Correct Coding Initiative (NCCI), coding experts say. This could provide some invaluable guidance to coders, but also could constitute another layer of micromanagement on coding.