NCCI to Delete Disputed Coding Edits

NCCI to Delete Disputed Coding Edits The Centers for Medicare and Medicaid Services (CMS) deleted the following National Correct Coding Initiative (NCCI) edits in its July 1, 2016, quarterly update: The ACR appealed the renal biopsy ( 50200 ), renal aspiration ( 50390 ), and nephrostolithotomy or pyelostolithotomy ( 50080 , 50081 ) with the imaging guidance CPT codes National Correct Coding Ini-tiative (NCCI) edits implemented on Jan. 1, 2016. The College has now received word from NCCI that they will delete those NCCI edits in the July 1, 2016 quarterly update. The deletions will appear in the July 1...

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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 summarizes a 2016 CMS National Correct Coding Initiative update involving the deletion of disputed edits and related changes to spine and scoliosis procedure pair indicators. It is relevant to radiology practices, hospitals, and coding professionals who track quarterly NCCI updates, CMS policy changes, and advocacy-driven coding revisions. The piece also notes the organizations involved and points readers to CMS and ACR resources for ongoing billing and coding news.

Why This Topic Matters

It helps readers identify a specific CMS update that changed how certain radiology-related edits were handled and shows which organizations raised concerns about the edits. This matters for teams monitoring NCCI quarterly releases and policy changes that may affect reporting workflows.

Article Sections

  1. NCCI quarterly update and disputed edit deletions

    Summarizes the CMS quarterly update and the general category of edits that were removed after an appeal process.

  2. Spine and scoliosis modifier indicator changes

    Covers the related CMS update involving spine/scoliosis procedure pairs and the retroactive modifier indicator revision discussed in the article.

  3. Professional society concerns and advocacy context

    Describes the organizations that objected to the edit assignments and the broader clinical and operational concerns they raised.

  4. Monitoring CMS and ACR update resources

    Points readers to the CMS and ACR resources mentioned for tracking future billing and coding announcements.

What You Will Learn

  • How a CMS NCCI quarterly update can affect disputed edit deletions
  • Which broad radiology-related procedure categories were involved in the update
  • How spine and scoliosis-related modifier indicator changes were addressed
  • Which professional organizations participated in the appeal and advocacy discussion
  • Where to monitor for future CMS and ACR coding update notices

Who Should Read This

  • Radiology coders
  • Billing staff
  • Revenue cycle professionals
  • Compliance teams
  • Physicians and practice administrators
  • Hospital coding departments

Codes Discussed

Code Ranges Discussed

  • CPT: 72082/72081
  • CPT: 72083/72081, 72082
  • CPT: 72084/72081, 72082, 72083

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