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SIR successfully appeals NCCI edits for lower extremity revascularization (LER)
SIR, in a joint effort with the Society for Vascular Surgery, American College of Cardiology, American College of Radiology, Outpatient Endovascular and Interventional Society, and Society for Cardiovascular Angiography and Interventions, successfully appealed to the Centers for Medicare and Medicaid Services (CMS) to review and amend its National Correct Coding Initiative (NCCI) policy regarding several medically unlikely edits (MUE) for the new LER codes.
NCCI had issued an edit of 1 for several add-on codes, preventing them from being billed bilaterally.
CMS agreed to make the MUE updates retroactive to April 1, 2026. However, the changes will not be published until Oct. 1, 2026, as part of the NCCI edit update.
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Guidewire
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Read the SIR summary: Hospital Prospective Payment System Proposed Rule for 2027
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CMS has proposed CY 2027 outpatient payment updates, including rate increases and new conversion factors for hospitals and ambulatory surgery centers. Learn more about the proposed HOPPS and ASC payment changes.
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Guidewire
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SIR participates in Alliance of Specialty Medicine fly-in to Capitol Hill
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SIR joined specialty medicine advocates on Capitol Hill to support Medicare reimbursement reform and prior authorization and step therapy changes.
Advocacy
Coding, billing and reimbursement
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Guidewire
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SIR joins Alliance of Specialty Medicine comments on new grant making rule
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SIR joined a coalition urging OMB to withdraw a proposed rule that could increase political oversight of federally funded research. Learn more about the rule.
Advocacy
IR research
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Guidewire
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SIR successfully appeals NCCI edits for lower extremity revascularization (LER)
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SIR and partner societies successfully urged CMS to revise billing edits for new LER codes, allowing appropriate bilateral reporting and retroactive reimbursement updates. Read about the coding changes and their implementation timeline.
Advocacy
Economics
Coding, billing and reimbursement
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Guidewire
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Visit the IR Vendor Directory!
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SIR has launched the IR Vendor Directory, a member-exclusive resource connecting interventional radiology practices with vetted vendors and trusted solutions. Explore the directory and find partners that can help advance your practice.
Practice development
Membership
-
Guidewire
![]()
SIR’s MPFS summary and impact analysis is now available
![]()
CMS has proposed physician payment updates for 2027, including conversion factor reductions and reimbursement changes impacting interventional radiology. Learn more about these changes.
Coding, billing and reimbursement
Advocacy
![]()
More news from SIR
![]()
-
Guidewire
Read the SIR summary: Hospital Prospective Payment System Proposed Rule for 2027
CMS has proposed CY 2027 outpatient payment updates, including rate increases and new conversion factors for hospitals and ambulatory surgery centers. Learn more about the proposed HOPPS and ASC payment changes.
-
Guidewire
SIR participates in Alliance of Specialty Medicine fly-in to Capitol Hill
SIR joined specialty medicine advocates on Capitol Hill to support Medicare reimbursement reform and prior authorization and step therapy changes.
Advocacy Coding, billing and reimbursement -
Guidewire
SIR joins Alliance of Specialty Medicine comments on new grant making rule
SIR joined a coalition urging OMB to withdraw a proposed rule that could increase political oversight of federally funded research. Learn more about the rule.
Advocacy IR research -
Guidewire
SIR successfully appeals NCCI edits for lower extremity revascularization (LER)
SIR and partner societies successfully urged CMS to revise billing edits for new LER codes, allowing appropriate bilateral reporting and retroactive reimbursement updates. Read about the coding changes and their implementation timeline.
Advocacy Economics Coding, billing and reimbursement -
Guidewire
Visit the IR Vendor Directory!
SIR has launched the IR Vendor Directory, a member-exclusive resource connecting interventional radiology practices with vetted vendors and trusted solutions. Explore the directory and find partners that can help advance your practice.
Practice development Membership -
Guidewire
SIR’s MPFS summary and impact analysis is now available
CMS has proposed physician payment updates for 2027, including conversion factor reductions and reimbursement changes impacting interventional radiology. Learn more about these changes.
Coding, billing and reimbursement Advocacy
More news from SIR