SCAI Successfully Appeals NCCI Edit for Pulmonary Artery Angioplasty | SCAI

The National Correct Coding Initiative (NCCI) Medically Unlikely Edit (MUE) for add-on code 92998, percutaneous transluminal pulmonary artery balloon angioplasty; each additional vessel has only been set to allow payment for up to two vessels, which is inconsistent with clinical practice. SCAI sent an appeal requesting the number of units per day to be increased to better align with the number of vessels commonly identified. CMS agreed to increase the MUE to seven. This change will be made with the January 1, 2024 NCCI edit update. 

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