MLN901346 - How to Use the Medicare NCCI Tools
This revised product comprises Subregulatory Guidance for using the How to Use The Medicare NCCI Tools, and its content is based on this publicly available content:
• https://www.cms.gov/Medicare/Coding/NationalCorrectCodInitEd/Add-On-Code-Edits
• https://www.cms.gov/About-CMS/Agency-Information/Aboutwebsite/Help
• https://www.cms.gov/Medicare/Coding/OutpatientCodeEdit
• https://www.federalregister.gov/documents/2016/02/12/2016-02789/medicare-program-reporting-and-returning-of-overpayments
• https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Internet-Only-Manuals-IOMs-Items/CMS018912
• https://www.cms.gov/medicare/national-correct-coding-initiative-edits/ncci-policy-manual-medicare
• https://www.cms.gov/files/document/proper-use-modifiers-59-xepsu.pdf
• https://www.cms.gov/Medicare/Coding/NationalCorrectCodInitEd/Version_Update_Changes
CMS policy or operation subject matter experts reviewed and cleared this product, that educates providers about how the NCCI tools work including; what it is, how to use the tools. There are so substantive changes to this product.
Final
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: December 29, 2023
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.