October Industry Notes – Medicare 

NCCI Alert: COVID-19 Vaccine Administration Edit Revision 

Some providers may have 90480 claims denied when billed in conjunction with G0008, G0009, or G0010 as a result of a Procedure to Procedure edit released in the 2025 Quarter 4 National Correct Coding Initiative (NCCI) files. On October 14, 2025, CMS issued replacement NCCI files to remove this edit. Medicare Administrative Contractors (MACs) will reprocess claims with dates of service between July 1, 2025, and October 15, 2025, within approximately 30 business days, and Medicare providers don’t need to take any action. Alternatively, a provider may also choose to use the MAC appeals process if they don’t wish to wait for the automatic adjustment to occur, or they can wait to submit impacted claims until after CMS implements the change. 

Access the Medicare replacement files.