The Alliance submitted a letter to the National Correct Coding Initiative (NCCI) contractor requesting the elimination of the NCCI edit for Total Contact Casting, Multi-layer Compression, as well as Unna Boot paste casts for both the Physician and the Hospital Outpatient Payment areas. We voiced concerns that the edits are inconsistent with peer-reviewed literature and do not allow the accurate identification and allocation of resources for the clinical procedures provided to deliver the most effective clinical approaches for treatment of diabetic foot ulcers and venous ulcers. We asked that these changes be implemented as soon as the October 1, 2021 update of the NCCI edits. The Alliance letter included a clinical review of the published literature on these procedures and a summary of the existing evidence to support the elimination of these edits.

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