CMS National Correct Coding Initiative (NCCI) Medicare and Medicaid program announcement

CMS announced that on February 1, 2019, the National Correct Coding Initiative (NCCI) Medicare and Medicaid Program Contract was awarded to a new contractor, Capitol Bridge LLC (2300 9TH STREET, SOUTH, PH3 ARLINGTON, VA 22204 Congressional District: VA-08). The incumbent contractor, CCS WP LLC/Correct Coding Solutions LLC and its principals retired on March 16, 2019, immediately after the transition period with Capitol Bridge LLC. The transition period started on February 3, 2019, and ended on March 15, 2019. Starting March 15, 2019 all correspondence should be sent to the Capitol Bridge LLC address, until otherwise notified.  Any NCCI...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article summarizes a CMS National Correct Coding Initiative (NCCI) Medicare and Medicaid program announcement. It addresses the contractor transition, points readers to official NCCI Medicare and Medicaid resources, and notes newly created HCPCS codes effective April 1, 2019. The piece is relevant to billing, coding, and reimbursement staff who track CMS program updates and HCPCS changes.

Why This Topic Matters

It helps readers stay current on CMS administrative changes and new HCPCS code availability tied to drugs and biologicals, which can affect claim processing, reference materials, and internal coding workflow updates.

Article Sections

  1. Program contract transition and contact information

    Covers the NCCI Medicare and Medicaid program contractor change, the transition period, and where correspondence and inquiries should be directed. It also points to official CMS and Medicaid resources for ongoing updates.

  2. New HCPCS codes

    Introduces newly created HCPCS codes effective in April 2019 for certain drugs and biologicals. A table in this section lists the codes and effective date information.

What You Will Learn

  • The purpose of the CMS NCCI Medicare and Medicaid program announcement
  • Which general administrative changes were communicated by CMS
  • Where to find official NCCI Medicare, Medicaid, and MUE resources
  • That CMS created new HCPCS entries effective in April 2019
  • What types of coverage topics the announcement addresses

Who Should Read This

  • Medical coders
  • Billing staff
  • Revenue cycle teams
  • Compliance staff
  • Practice managers
  • Health information management professionals

Codes Discussed


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