If you are a coding professional, the Medicare NCCI policy manual is your friend!
The manual contains instructions that promote correct coding when billing for Medicare patients; however, many commercial payers have adopted NCCI payment guidelines and/or similar edits.

So, what is the NCCI program?
The NCCI program was created to prevent inappropriate payment of services that should not be reported together and to prevent the payment of inappropriate units of a service on a single day.

NCCI edits include:
Procedure-to-Procedure edits (PTP)
Automated prepayment edits that prevent improper payment when certain codes are submitted together for Part B-covered services.
Applies to both practitioners and certain outpatient hospital services.

Medically Unlikely edits (MUEs)
An MUE for a HCPCS/CPT code is the maximum units of service that a provider would report under most circumstances for a single patient on a single date of service.
Used by Medicare Administrative Contractors (MACs), including Durable Medical Equipment (DME) MACs.

Add-on Code edits (AOCs)
An add-on code describes a service that is performed in conjunction with a primary service by the same practitioner.
There are three types of add-on codes that distinguish the payment policy for each type.

During this webinar, we will discuss each edit, walk through PTP edit pair examples, and discuss the entities in which NCCI edits apply.
If you have an interest in all things NCCI, check out the Ensure Your Coding is Correct with Medicare National Coding Edits webinar.

Medicare NCCI Policy Manual: https://www.cms.gov/medicare/coding-billing/national-correct-coding-initiative-ncci-edits/medicare-ncci-policy-manual

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