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Medicaid NCCI Reference Documents

Find answers to frequently asked questions about National Correct Coding Initiative (NCCI) Methodologies in the FAQ library.  

Recent NCCI Manuals

  • Medicaid NCCI Policy Manual (ZIP, 3.68 MB) revised January 1, 2020
    • Revisions were made in Chapter VIII Section D (Ophthalmology), Chapter IX, Section E
      (Nuclear Medicine), Section F (Radiation Oncology) and Chapter X, Section A (Introduction), Section F (Molecular Pathology.)
  • Medicaid NCCI Technical Guidance Manual (PDF, 1.27 MB) revised January 1, 2020
    • The National Correct Coding Initiative (NCCI) Program updates the Medicaid NCCI Technical Guidance Manual (TGM) annually. The TGM provides technical assistance for the states on correctly and completely implementing NCCI edits. The January 1, 2020 revision reflects the following changes.
      • States are not required to report savings. States are no longer required to send NCCI deactivation requests to CMS Regional Offices.
      • To assist states that would like to estimate NCCI cost savings, CMS recently developed and is posting in the Resources section of this page, the NCCI MUE and PTP Edit Savings Guidance for State
        Medicaid Agencies.
    • The Medicaid NCCI Technical Guidance Manual contains information previously published in the Technical Guidance Document and the Edit Design Manual.
  • Medicaid NCCI Correspondence Language Manual (PDF, 364.42 KB) January 1, 2020
  • SE1418 - Proper use of Modifier 59 revised March 2020


Reports to Congress