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1. NCCI Procedure-to-Procedure Lookup - CGS Medicare
Link: https://www.cgsmedicare.com/medicare_dynamic/j15/ptpb/ptp/ptp.aspx
Description: WEBOur NCCI tool provides steps you can take to prevent these NCCI denials: First, know if NCCI edits apply to the services you are submitting. Search for coding pairs by entering your major procedure code. The search results show coding pair lists entitled Column I …
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2. Medicare NCCI Procedure to Procedure (PTP) Edits | CMS
Link: https://www.cms.gov/medicare/coding-billing/national-correct-coding-initiative-ncci-edits/medicare-ncci-procedure-procedure-ptp-edits
Description: WEBDec 1, 2023 · National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edits prevent inappropriate payment of services that should not be reported together. Each edit has a Column One and Column Two HCPCS/CPT code.
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3. National Correct Coding Initiative Edits (NCCI) - JE Part B
Link: https://med.noridianmedicare.com/web/jeb/topics/claim-submission/ncci
Description: WEBJan 25, 2024 · CMS PTP Coding Edits. CMS Quarterly NCCI and MUE Version Update Changes. Last Updated Jan 25 , 2024. NCCI edits prevent improper payment when incorrect code combinations are reported for physicians/practitioners and …
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4. CMS National Correct Coding Initiative Edits | Guidance Portal - HHS.gov
Link: https://www.hhs.gov/guidance/document/cms-national-correct-coding-initiative-edits
Description: WEBReplacement Files (1st quarter of 2022) - CMS issued replacement files for NCCI Procedure to Procedure edits (PTPs) and Medically Unlikely Edits (MUEs) for the January 1, 2022 files. Updated public replacement files for Medicare are available using the links in the left navigation pane.
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5. National Correct Coding Initiative Edits - AAP
Link: https://www.aap.org/en/practice-management/practice-financing/coding-and-valuation/coding-edits-and-modifiers/national-correct-coding-initiative-edits/
Description: WEBAug 11, 2021 · The NCCI edits are developed for use by the Centers for Medicare & Medicaid Services (CMS) in adjudicating Medicare claims, but they are also used by many private payers and Medicaid agencies. Furthermore, the NCCI edits frequently form the basis for proprietary claims software.
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6. Quarterly Update to the National Correct Coding Initiative …
Link: https://edit.cms.gov/files/document/mm12110-quarterly-update-national-correct-coding-initiative-ncci-procedure-procedure-ptp-edits.pdf
Description: WEBCR 12110 provides the quarterly update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edits. Please be sure your billing staffs know of the updates. BACKGROUND. CMS developed the NCCI to: Promote national correct coding methodologies. Control improper coding that leads to inappropriate payment in Part B …
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7. BOOLET - Centers for Medicare & Medicaid Services
Link: https://edit.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/How-To-Use-NCCI-Tools.pdf
Description: WEBBackground: NCCI Edits. NCCI has 2 provider-type choices of Procedure to Procedure (PTP) code pair edits and 3 provider-type choices of Medically Unlikely Edits (MUEs). PTP Code Pair Edits. PTP code pair edits are automated prepayment edits that prevent improper payment when you report certain codes together for Part B-covered services.
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8. NCCI Edits - JE Part A - Noridian - Noridian Medicare
Link: https://med.noridianmedicare.com/web/jea/topics/claim-submission/ncci
Description: WEBJan 1, 2024 · View information about NCCI, Medically Unlikely Edits (MUEs), Procedure-to-Procedure (PTP) and Add-on Code Edits and how to locate these edits.
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9. NCCI for Medicare | CMS
Link: https://www.cms.gov/medicare/coding-billing/ncci-medicare
Description: WEBDec 7, 2022 · CMS issued replacement files with the following changes: Dec. 7, 2022 - Replacement Files (1st quarter of 2023) - CMS issued replacement files for NCCI Procedure to Procedure (PTP) edits and updated for the January 1, 2023 files (PRA and OPH).
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10. Medicare NCCI FAQ Library | CMS
Link: https://www.cms.gov/medicare/coding-billing/national-correct-coding-initiative-ncci-edits/medicare-ncci-faq-library
Description: WEBJan 30, 2024 · How do I know what changed in the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edits and Medically Unlikely Edits (MUE) files from quarter to quarter? CMS posts the current and previous quarter’s PTP edit and MUE files and change report files.
