Viewing Date 05/19/2025
Generated 05/19/2025 6:03pm

NCCI Edit Report - Facility

Column
1 Code
Description,
Column 2 Code
Edit CodeModifier
Indicator
Effective
Date
Termination
Date
Invalid Code.

Edit Codes explanation
01 - Standards of medical/surgical practice
02 - HCPCS/CPT separate procedure definition
03 - Most Extensive Procedure
05 - Anesthesia Included in Surgical Procedures
06 - Laboratory Panels
07 - Sequential Procedures
08 - Standard Preparation / Monitoring Service
09 - HCPCS/CPT procedure code definition
10 - HCPCS/CPT coding manual instruction / guideline
11 - Code Pair Edit
12 - Mutually Exclusive procedures
13 - Gender-specific procedure

Modifier Indicator explanation
0 - No modifiers override this edit.
1 - Modifiers 58 or 59 override this edit.
9 - This edit is no longer valid





Source: https://www.cms.gov/Medicare/Coding/NCCI-Coding-Edits