NCCI (National Correct Coding Initiative)
This article, which clarifies the proper use of modifier 59, was revised January 3 to conform with the latest modifier 59 article on the National Correct Coding Initiative website. The key update was the addition of information regarding the XE, XS, XP, and XU modifiers. [SE1418]
CMS developed the Correct Coding Initiative (CCI) to promote national correct coding methodologies and to control improper coding leading to inappropriate payment in Part B claims.
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.
This booklet provides educational information on what the National Correct Coding Initiative (NCCI) is and how to use the tools for correct coding.
This tutorial will demonstrate how to determine if a code pair will be denied due to NCCI.
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