The Centers for Medicare and Medicaid Services (CMS) has released the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edits Version 27.0 that will be effective with dates of service January 1, 2021 through March 31, 2021. CMS has deleted several of the NCCI PTP edits that they had reinstated for dates of service October 1, 2020 through December 31, 2020 that had a negative impact on outpatient physical, occupational and speech therapy services.
NCCI PTP edits that CMS deleted that have an impact on outpatient therapy services include:
In addition, CMS deleted the following NCCI PTP edits that impacted therapy services when provided in the emergency department:
To access Gawenda Seminars & Consulting NCCI Edit modifier 59 reference sheet, click HERE. I hope you found this article helpful. Thank you for being a Gold Member!
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