NCCI ICD-10 Readiness

We were curious if anyone else had this thought process, about whether NCCI edits will change to match ICD-10 conventions for laterality.

For example, coding for a right foot orthotic and applying an -RT modifier to the CPT. However, the provider does his coding and uses the ICD-10 referencing the LEFT side. Say this claim slips by and gets submitted. Has anyone seen information to say whether or not the claim would pass the edit or be denied for a mismatch?

Since we'll be doing a lot of DME coding, our fear is that scenarios like this will be innumerable. Any thoughts?

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Christopher M. Thompson, MBA, CPC
Senior Auditor
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NCCI ICD-10 Readiness