The Centers for Medicare & Medicaid Services (CMS) requests Medicare Administrative Contractors (MACs) utilize a new National Correct Coding Initiative (NCCI) set of procedure to procedure edits (PTP) known as Version 23.1, which will be effective April 1, 2017, available via the CMS Data Center (CDC), for correct payment of Medicare Part B claims. Contractors shall use a test file available on or about January 31, 2017, and a final file which will be available on or about February 14, 2017. Contractors shall not search their files to either retract payment or to retroactively pay claims, but shall adjust claims that are brought to their attention.

Full Transmittal: https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R3708CP.pdf

Subject: Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure to Procedure (PTP) Edits, Version 23.1, Effective April 1, 2017

Number: 3708

Title: Change Request 9970

Release Date: Feb. 3, 2017

Effective Date: April 1, 2017

Implementation Date: April 3, 2017

Special Notes: N/A