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The National Correct Coding Initiative (NCCI) is a CMS program designed to prevent improper payment of procedures that should not be submitted together. There are two categories of edits: Physician Edits: these code pair edits apply to physicians, non-physician practitioners, and Ambulatory Surgery Centers.
Keeping this in consideration, what are NCCI edits used for?
The purpose of the NCCI Procedure-to-Procedure (PTP) edits is to prevent improper payment when incorrect code combinations are reported. The NCCI contains one table of edits for physicians/practitioners and one table of edits for outpatient hospital services.
Also Know, where can I find the NCCI edits?
The PTP code pair edits, MUE tables, and NCCI manual are accessed through the National Correct Coding Initiative Edits webpage at https://www.cms.gov/Medicare/Coding/NationalCorrectCodInitEd/index.html on the CMS website.
The NCCI edits are to promote correct coding structures and to make sure that coding is done correctly so the payments are not incorrect. There is a set of PTP edits automatically entered into the outpatient code editor.