Corrected Nuclear Medicine NCCI Edits Published April 1, 2011

Corrected Nuclear Medicine NCCI Edits Published April 1, 2011 > Forty National Correct Coding Initiative (NCCI) edits affecting nuclear medicine were implemented incorrectly on January 1, 2011. The Centers for Medicare and Medicaid Services (CMS) corrected these edits in Version 17.1 of the NCCI listing on April 1, 2011. Providers may appeal, resubmit, or reopen any previously denied claims. The corrections for the code pairs listed in Table 1 are retroactive to January 1, 2011. CMS releases NCCI updates quarterly. To view the most current file of NCCI edits, go to www.cms.gov/NationalCorrectCodInitEd/01_overview.asp . Table 1 Corrected...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article covers a CMS correction to National Correct Coding Initiative edits affecting nuclear medicine, published in April 2011. It is relevant to providers, coders, and billing staff who track NCCI update cycles, claim appeals, and retroactive claim review. The article presents the general scope of the correction and identifies the code-pair edits included in the update.

Why This Topic Matters

The piece helps readers recognize that a previously implemented set of nuclear medicine edits was corrected by CMS and that the changes apply retroactively. That matters for organizations reviewing denials, resubmissions, reopenings, and compliance with current NCCI guidance.

Article Sections

  1. Corrected Nuclear Medicine NCCI Edits Published April 1, 2011

    Overview of the CMS update and the timing of the correction to nuclear medicine-related NCCI edits.

  2. Table 1 Corrected Nuclear Medicine NCCI Edits

    Tabular summary of the affected code pairs and the revised edit status published in the update.

What You Will Learn

  • What the article covers in the April 2011 CMS NCCI correction
  • Which broad nuclear medicine edit changes are referenced
  • Why the update may matter for previously denied or reopened claims
  • How the article frames the timing and retroactive effect of the correction

Who Should Read This

  • Medical coders
  • Billing staff
  • Compliance teams
  • Radiology and nuclear medicine practices
  • Revenue cycle professionals

Codes Discussed

Code Ranges Discussed


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