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For question 18 locate the NCCI edits from the CMS website.Download the group that contains codes for the digestive system.Complete the following table with the

For question 18 locate the NCCI edits from the CMS website.Download the group that contains codes for the digestive system.Complete the following table with the modifier indicator and PTPedit rationale. In the Explanation column, use reasoning andknowledge of how procedures are performed to describe the intent ofthe edit.

18. Locate the NCCI edits from the CMS website. Downloadthe group that contains codes for the digestive system. Completethe following table with the modifier indicator and PTP editrationale. In the Explanation column, use reasoning and knowledgeof how procedures are performed to describe the intent of theedit.
____________________

Column 1 CPT Code

Column 2
CPT Code

Modifier

0 = not allowed

1 = allowed

9 = not
applicable

PTP Edit
Rationale

Explanation

43633 Gastrectomy,
partial, distal; with
Roux-en-Y ­reconstruction

44005 Enterolysis (freeing of intestinal adhesions) (separateprocedure)

45307
Proctosigmoidoscopy,
rigid; with removal
of foreign body

46601 Anoscopy; diagnostic

45402 Laparoscopy, surgical; proctopexy

45540 Proctopexy; abdominal approach

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