HCPro, JustCoding Outpatient - 2022 Issue 14 (April)
Healthcare News: CMS introduces 4,000 new NCCI PTP edits in April update
April 5th, 2022
Subscribe or sign in to view the full article.
Article Overview
This news item covers a CMS update to National Correct Coding Initiative (NCCI) editing files, including a large expansion of CPT Procedure-to-Procedure pairings and a related set of medically unlikely edits. It is useful for coders, billing staff, and compliance professionals who monitor quarterly or mid-quarter coding changes in pathology, laboratory, digestive procedures, and cardiac catheterization services. The article also points readers to CMS resources where the updated edit files can be reviewed.
Why This Topic Matters
NCCI edit updates can affect claim processing, coding compliance, and whether services are bundled or limited for payment review. Keeping track of these changes helps coding teams stay current with CMS edit files and identify areas that may require workflow or charge review updates.
What You Will Learn
- What CMS changed in the latest NCCI PTP edit update
- Which broad CPT service areas are most affected by the edit changes
- How the article frames the related medically unlikely edit update
- Where CMS directs readers to find the updated edit files
Who Should Read This
- Medical coders
- Coding managers
- Billing and reimbursement staff
- Compliance professionals
- Healthcare revenue cycle teams
Codes Discussed
Code Ranges Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com