Clinical code scrubbing includes:

• HCPCS Validity – checks claim information for the most current
  
• Level I (CPT-4) and Level II (HCPCS) procedure codes.
  
• ICD-9 Specificity – compares the diagnosis codes on the claims to the ICD-9 revision guidelines.
  
• Medical Necessity – compares claim information to LMRP policies.
  
• Correct Coding Initiative (CCI) – compares claim information to CCI edits developed by CM