Advanced Search

Pediatric Coding Alert

Pediatric Coding:

Recent NCCI Edits Creating a Problem

Published on Mon Nov 10, 2025

Question: I just got a denial for a patient who received a nasal flu vaccine and a COVID shot at the same visit. Has something changed in coding rules for same-day vaccines? AAPC Forum Participant Answer: For a short time between October 1, 2025, and October 14, 2025, the National Correct Coding Initiative (NCCI) Edits Version 31.3 introduced a change [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

Pediatric Coding Alert