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January 25, 2018

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Medical Coding News Archives

Modest Edits Made to NCCI

April 20, 2012:

Karen Kachur, RN, CPC, Clinical/Technical Editor

Rather than having thousands of changes, as has been seen frequently in the past, the most recent update to the National Correct Coding Initiative (NCCI) edits, version 18.1, has just 400. The changes, effective April 1, 2012, include 362 new and 23 deleted edits, and 12 edit and three modifier revisions.

A breakdown of the changes brought about by version 18.1 by code range is provided in the table below:

Code Range Added Edits Deleted Edits Revised Edits Modifier Revisions
00000 0 0 12 0
20000 125 11 0 0
30000 43 1 0 0
40000 10 0 0 0
60000 175 1 0 0
70000 2 2 0 0
90000 7 2 0 0
Category III 0 0 0 2
HCPCS Level II 0 6 0 1

Bear in mind that version 18.1 marks the first release of the NCCI edits for which both the column1/column2 edits and the mutually exclusive edits have been combined into one edit file. This does not mean mutually exclusive edits are being deleted—both files are simply being consolidated by the Centers for Medicare and Medicaid Services (CMS) for ease of use.


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