Cracking the Code

National Correct Coding Initiative (NCCI) Edit

As a medical coder, it is important to ensure claims are accurate as possible on the front end before finalizing and sending them off to the billing department. With outpatient medical coding, coders are responsible for clearing all edits before completing medical accounts. National Correct Coding Initiative (NCCI) edits are very common. HCPCS codes are arranged in Column 1 and Column 2. Column 1 indicates the payable code. Column 2 indicates the code that is not payable with a particular Column 1 code unless a modifier is permitted and submitted. Pay very close attention to what the edit requests to ensure it is cleared and submitted properly.

Even if the provider’s documentation supports both CPT procedures, it is inaccurate to report both in this example. Since the NCCI edit clearly states that CPT 80306 cannot be reported even with the use of a modifier, it is appropriate to only report CPT 80307.

Scroll to Top
aquity awards and badges

We’ve won lots of awards. Find out why.

Send me info

Thanks for giving us your details. Our representative will contact you shortly.

Let's Talk

Thanks for giving us your details. Our representative will contact you shortly.

BOOK A DEMO

August 2022
Mon Tue Wed Thu Fri Sat Sun
1234567
891011121314
15161718192021
22232425262728
2930311234

Let's Talk

Thanks for giving us your details. Our representative will contact you shortly.

Call Now Button