Are you up-to-date with the latest guidance on the National Correct Coding Initiative (NCCI)? The Medicaid NCCI manual for 2015 was published in November 2014 and contained several changes that may be of interest to pediatricians. This article will highlight some of those changes. Because it would be impossible to be comprehensive in this format, all changes to the manual can be downloaded in the form of the current manual from the Medicaid NCCI Reference Documents (www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Data-and-Systems/National-Correct-Coding-Initiative.html). The NCCI manual uses red font to indicate changes to the manual. Here is the text from the Medicaid NCCI manual (unless otherwise noted).

The Medicaid NCCI uses the same definition of major and minor surgery procedures as Medicare.

The Medicare designation of global days can be found on the Medicare/National Physician Fee Schedule/PFS Relative Value Files page of the CMS Medicare Web site at www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeeSched/PFS-Relative-Value-Files.html.

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