MedicaidBilling CodesMedium impact

National Correct Coding Initiative (NCCI) New Medicaid-Only Procedure to Procedure (PTP) Edits Relating to Wheelchairs

Q: Who is affected by this change?

This affects Connecticut Medicaid (HUSKY Health) PM&R (Physical Medicine & Rehab), Orthopedics, Physical Therapy, Occupational Therapy providers in CT on Medicaid plans.

Connecticut Medicaid (HUSKY Health)·CT · PM&R (Physical Medicine & Rehab), Orthopedics, Physical Therapy +1 more·Coding

Effective date

Not stated

We identified it

Jun 20, 2026

Days to comply

—

Summary

Connecticut Medicaid (HUSKY Health) has implemented new National Correct Coding Initiative (NCCI) Procedure to Procedure (PTP) edits specifically for wheelchair-related services. These edits will prevent certain wheelchair procedure codes from being billed together on the same date of service.

Action Required

Action needed

Immediately: Billing team must review the full NCCI policy document at the provided URL to identify specific wheelchair procedure combinations that are now bundled. Update billing software edit rules to prevent inappropriate code combinations for wheelchair services in Connecticut Medicaid claims. Train staff on new bundling restrictions to avoid claim denials.

Related policy hubs

Connecticut Medicaid (HUSKY Health) policies CT policy changes PM&R (Physical Medicine & Rehab)Orthopedics Physical Therapy Occupational Therapy