April 1, 2017 NCCI Edit Update

Effective April 1, 2017, CMS will assign a modifier indicator of “1" which will allow the use of NCCI-associated modifiers to bypass the edit for the uncommon circumstance where a provider performs CPT code 78102 (Bone marrow imaging; limited area) and HCPCS code A9541 (Technetium Tc-99m sulfur colloid, diagnostic, per study dose, up to 20 mCI) on the same date of service as CPT code 78806 (Radiopharmaceutical localization of inflammatory process; whole body) and HCPCS code A9570 (Indium In-111 labeled autologous white blood cells, diagnostic, per study dose).