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NCCI Edits Validator™ – FACILITY Edition

Click here to use the Non-Facility NCCI Edits Validator™

Enter Codes to Check:

Instructions:

Please 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.

Note: NCCI Edits for facilities are available as part of the Hospital/Facility product.

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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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NCCI Edits Validator™ – FACILITY Edition

Instructions:

Example Results:

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