AHA Coding Clinic® for HCPCS - 2026 Issue 2; In This Issue

Impact of April 2026 NCCI Updates

Impact of April 2026 NCCI Updates on Hospital Outpatient and ASC Coding: Category III Codes and Territory-Based Revascularization The April 2026 quarterly update to the Centers for Medicare & Medicaid Services (CMS) National Correct Coding Initiative (NCCI) represents a significant evolution in outpatient procedural coding. CMS continues to refine coding policy through quarterly updates that incorporate procedure-to-procedure (PTP) edits and Medically Unlikely Edits (MUEs), both of which are designed to promote correct coding and prevent improper reporting.The latest release is notable for the scale of change, including thousands of newly introduced and deleted edit pairs, as well as...

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