NCCI Completes SNMMI's Proposed Changes to PTP Edits

December 7, 2021

CMS's National Correct Coding Initiative (NCCI) issued several procedure-to-procedure (PTP) edit corrections requested by SNMMI for several of the new and revised CPT codes, effective October 1, 2021. These edit corrections are retroactive for claims with a date of service January 1, 2020, or after.

As of June 1, the NCCI contractor, Capitol Bridge, had implemented many of SNMMI's edits to the Practitioner file but not the Hospital Outpatient file. SNMMI is happy to report that corrections have now been made to both practitioner and hospital files. The following code pairs will now be allowed to be covered and reimbursed.

The official update files are available for viewing at www.cms.gov.

For general questions on this matter, please contact hpra@snmmi.org. If you would like to report an issue with a code, please contact Denise Merlino at merlinohccc@gmail.com and SNMMI staff at hpra@snmmi.org.