The Medicare National Correct Coding Initiative (NCCI) was implemented to promote national correct coding methodologies and to control improper coding leading to inappropriate payment. NCCI Procedure-to-Procedure (PTP) code pair edits are automated prepayment edits that prevent improper payment when certain codes are submitted together for Part B-covered services.
The MCS will allow modifiers 59, XE, XS, XP, or XU on column one and column two codes to bypass the edit effective July 1, 2019, involving the NCCI procedure to procedure codes. [MM11168]
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