Additions and revisions to the manual are noted in red font. The most current policy manual, effective Jan. The NCCI Policy Manual should be used by Medicare Administrative Contractors (MACs) as a general reference tool that explains the rationale for NCCI edits. CMS updates the NCCI Policy Manual for Medicare once a year.The most recent edit files, including quarterly version update changes, are available on the PTP Coding Edit page, the Medically Unlikely Edits page, and the Add-On Code Edits page.Review the new Medicare Add-On Code File Structure (PDF). 1, 2022, CMS implemented a new format for the Add-on Code (AOC) edit file. More information may be found on this page under Replacement Files. CMS will delete NCCI PTP edits between Column One codes 22630, 22632, 2264, and Column Two codes 6303.CMS posted a replacement file on the NCCI PTP webpage. Any claim that was affected by the procedure-to-procedure edits, including those that did not apply an NCCI modifier, will be processed and paid as appropriate under existing payment and coverage policies. CMS will delete the edits with a replacement file for the 4th quarter of 2023.CMS is withdrawing NCCI PTP edits between Column One codes 80305, 80306, and 80307 for presumptive test(s), and Column Two codes G0480 – G0483, and G0659 for definitive test(s).
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