Academy maintains clinically appropriate coding edits
The National Correct Coding Initiative (NCCI), a division of the Centers for Medicare and Medicaid Services (CMS), periodically reaches out to the Academy to request feedback on proposed changes to various Current Procedure Terminology (CPT) codes.
In response to proposed PTP edits for CPT codes describing laryngectomies paired with cervical lymphadenectomies, the Academy’s CPT team submitted written comments advocating against coding edits. This would disallow these procedures to be performed on the same patient on the same day.
Following the Academy’s advocacy effort, NCCI agreed with the Academy’s rationale and decided against the implementation of the proposed modifications on October 1, 2017. In response, the Academy thanked NCCI for taking the CPT team’s concerns into consideration when making the final determination.