Take an early look at the latest updates to the National Correct Coding Initiative (NCCI) procedure-to-procedure (PTP) and medically unlikely edits (MUE), which go into effect April 1, 2026. You'll find more than 3,750 new PTP code pairs bundled together, placing restrictions on billing eligibility.
With a release dated March 2, CMS published the PTP and MUE update files on
the NCCI website. You can find the full files at the following sites, with a ZIP file available for download:
Thye 3,750-plus new PTP code pairs are, in part, offset by more than 4,800 deleted code bundles. Most of the new code pairs correspond with medicine codes (U codes) and Category III codes (T codes). Six code pairs have been revised.
The NCCI version 32.1 edits also introduce 121 new MUEs and seven revised MUE counts. The MUE file signifies the cap on daily units of service that providers are eligible to report. Effective April 1, providers will be limited to reporting one unit of service for code G0447 (Face-to-face behavioral counseling for obesity, 15 minutes) per date of service, which is reduction of the two units of service currently available.
The CCI version 32.1 scorecard below highlights the PTP and MUE edits categorized by section of the CPT coding manual.
|
CCI version 32.1 scorecard
Changes effective April 1, 2026.
|
|
Code range
|
CCI code pairs added
|
CCI code pairs deleted
|
CCI code pair revisions
|
MUEs added
|
MUEs deleted
|
MUEs revised
|
|
00000 – 09999
|
0
|
0
|
0
|
0
|
0
|
0
|
|
10000 – 19999
|
0
|
20
|
0
|
0
|
0
|
0
|
|
20000 – 29999
|
0
|
8
|
1
|
2
|
0
|
0
|
|
30000 – 39999
|
0
|
18
|
0
|
48
|
0
|
0
|
|
40000 – 49999
|
64
|
0
|
0
|
2
|
0
|
0
|
|
50000 – 59999
|
2
|
0
|
1
|
14
|
0
|
0
|
|
60000 – 69999
|
0
|
48
|
0
|
11
|
0
|
0
|
|
70000 – 79999
|
0
|
227
|
0
|
8
|
0
|
0
|
|
80000 – 89999
|
229
|
0
|
0
|
7
|
0
|
1
|
|
0001U – 0284U
|
1,872
|
0
|
0
|
0
|
0
|
0
|
|
90000 – 99999
|
4
|
151
|
4
|
19
|
0
|
0
|
|
0001T – 0999T
|
1,308
|
4
|
0
|
0
|
0
|
2
|
|
A0000 – V9999
|
280
|
4,387
|
0
|
10
|
85
|
4
|
|
Totals
|
3,759
|
4,863
|
6
|
121
|
85
|
7
|
|
Note: Code range is based on the comprehensive code of the edit.
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