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Medical Billing and Coding, ICD-10-CM, ICD-10-PCS, CPT, HCPCS, etc.
Viewing:  Jan 19, 2017

NCCI Edits Validator™  avoid denials

Facility Edition - Switch to Non-Facility Edition
Enter Codes to Check:

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Instructions:
99201
99202
97001
99239
80500
36511
A4206


Enter one code per line, no modifiers.  Enter ALL the codes you will list on a claim form to check for NCCI Edits on each code pair.

Calculate and view the NCCI Edit codes for comprehensive, component and mutually exclusive codes. View code incompatibilities.

Access to this feature is available in the following products:
  • Find-A-Code Hospital/Facility

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Example Results:

  99201 - ERROR
    Component of 99202 - (NO modifiers associated with the CCI are allowed to be used with this code pair.)
    Component of 36511 - (Modifiers associated with the CCI ARE allowed with this code pair WHEN APPROPRIATE.)

  99202 - ERROR
    Component of 99201 - (NO modifiers associated with the CCI are allowed to be used with this code pair.)
    Component of 36511 - (Modifiers associated with the CCI ARE allowed with this code pair WHEN APPROPRIATE.)

  36511 - WARNING
    Component of 99201 - (Modifiers associated with the CCI ARE allowed with this code pair WHEN APPROPRIATE.)
    Component of 99202 - (Modifiers associated with the CCI ARE allowed with this code pair WHEN APPROPRIATE.)

Note: Our edits are taken directly from published government sources.
If you do not agree with any of these edits, or find a problem with any of them,
please contact the Applicable Government Agency or Medicare Contractor.

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