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The Centers for Medicare and Medicaid Services (CMS) published the 2025 Q1 updates to the National Correct Coding Initiative (NCCI) edit files, effective January 1, 2025, replacing the 2024 Q4 versions.
Changes were made to the Medically Unlikely Edits (MUEs) for DME Supplier Services, Outpatient Hospital Services, and Practitioner Services MUE Tables including the addition, deletion, and revision of files.
Updates were also made to Hospital and Practitioner Procedure-To-Procedure (PTP) Edits as well as the Add-On Code files. The files are available on the CMS National Correct Coding Initiatives Edits webpage.
Tags: Cost Containment