Look for NCCI Quarterly Update in May

The latest National Correct Coding Initiative (NCCI) edits, Version 18.2, is effective July 1 and available through the Centers for Medicare & Medicaid Services (CMS) Data Center. The Recurring Update Notification applies to Medicare Claims Processing Manual, chapter 23, section 20.9. You can look forward to the release of a test file around May 2. A final file will be available around May 17.

Version 18.2 includes previous versions and updates from Jan. 1, 1996 to now, and is organized in two tables:

  • Column 1/Column 2 Correct Coding Edits
  • Mutually Exclusive Code (MEC) Edits

The coding policies are based on coding conventions defined in the:

  • American Medical Association’s (AMA’s) CPT® manual
  • National and local policies and edits
  • Coding guidelines developed by national societies
  • Analysis of standard medical and surgical practice
  • Review of current coding practice

See MLN Matters® article MM7802 for more information. EdgeBlast or Coding Edge will keep you abreast on the updates when the final document is released.

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One Response to “Look for NCCI Quarterly Update in May”

  1. Connie says:

    Version 18.1 (4/1/12-6/30/12) combined the Column One/Column Two codes with the Mutually Exclusive codes into one complete file. About time.

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