tci Part B Insider - 2021 Issue Q3

National Correct Coding Initiative: Master NCCI PTP Edits With 4 Handy Tips

Caution: Take care when using a modifier to break an edit. When you submit myriad codes for your Part B claims, it’s a good idea to double-check the National Correct Coding Initiative (NCCI) edits to see which codes you can report in conjunction with each other. That was the word from NGS Medicare’s Arlene Dunphy, in the Part B MAC’s recent webinar, “The National Correct Coding Initiative and Medically Unlikely Edits.” Dunphy, a provider outreach and education consultant with NGS, gave helpful tips on how procedure-to-procedure (PTP) NCCI edits work, including why modifier indicators...

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