CMS Releases NCCI Quarterly Edit Files

The Centers for Medicare and Medicaid Services (CMS) released the quarterly National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edits, effective Oct. 1. The NCCI was developed by CMS to promote national correct coding methodologies and to control improper coding that leads to inappropriate payment in Medicare Part B claims. This update includes all previous edits and changes from Jan. 1, 1996, to the present.

The American College of Radiology® (ACR®) urges practices to review the NCCI edits relevant to radiology and make any necessary updates to their systems.

Refer to CMS Transmittal 13275, the ACR Bulletin and the CMS NCCI webpage for additional information, or contact Maria Tran, ACR Director of Economic Policy.

Related ACR News

CMS Releases 2026 Medicare Physician Fee Schedule Final Rule
CMS released the 2026 MPFS final rule Oct. 31. ACR prepared an initial summary about impact on imaging.
Read more
Massachusetts Legislature Updates Prior Authorization Bill
Massachusetts HB 4616 aims to streamline prior authorization, boost transparency, and study its impact on care access and costs.
Read more
ACR Responds to RFI on AI Regulatory Reform
ACR urged the White House to enhance AI oversight and payment policies to support safe, effective, and reimbursable clinical AI use.
Read more