We utilize Medicare's National Correct Coding Initiative (NCCI) as the basis for clinical edits. NCCI identifies pairs of services that normally should not be billed by the same physician for the same patient on the same day. NCCI also promotes uniformity among the contractors that process Medicare claims in interpreting Medicare payment policies. We have identified additional code pair edits to be used as a supplement to Medicare's NCCI. These code pair edits were developed using nationally accepted, logical and predictable coding principles. In arriving at these supplemental coding edits, the following were taken into consideration:

  • CPT Assistant
  • HCPCS manual
  • Medicare Part B News
  • The CMS Federal Register
  • Centers for Medicare & Medicaid Services (CMS)
  • CPT manual, including code definitions and associated text

Our correct code editor (CCE) is updated quarterly (January, April, July and October). Updates are clearly labeled with the corresponding numbered version of CMS' NCCI.

  • January - supplement to NCCI version XX
  • April - supplement to NCCI version XX.1
  • July - supplement to NCCI version XX.2
  • October - supplement to NCCI version XX.3

To provide feedback or get clarification about the CCE code pairs, please contact your provider relations representative.

Archive of past CCE supplements to CCI

Title
2019-07 - Correct Code Editor complete list
2019-07 - Correct Code Editor code pair edits do not bypass with any modifier
2019-07 - Correct Code Editor added do not bypass modifier
2019-04 - Correct Code Editor complete list
2019-04 - Correct Code Editor code pair edits do not bypass with any modifier
2019-01 - Correct Code Editor complete list
2019-01 - Correct Code Editor code pair edits do not bypass with any modifier
2018-10 - Correct Code Editor complete list
2018-10 - Correct Code Editor code pair edits do not bypass with any modifier
2018-10 - Correct Code Editor added code pair edits
2018-07 - Correct Code Editor complete list
2018-07 - Correct Code Editor code pair edits do not bypass with any modifier
2018-04 - Correct Code Editor complete list
2018-04 - Correct Code Editor code pair edits do not bypass with any modifier
2018-04 - Correct Code Editor added code pair edits
2018-01 - Correct Code Editor complete list
2018-01 - Correct Code Editor code pair edits do not bypass with any modifier
2018-01 - Correct Code Editor code pair edits added do not bypass with any modifier
2017-10 - Correct Code Editor complete list
2017-10 - Code pair edits do not bypass with any modifier (PDF)
2017-07 - Correct Code Editor complete list
2017-07 - Correct Code Editor codes do not bypass with modifier 25
2017-07 - Correct Code Editor code pair edits do not bypass with modifiers 59 RT LT XE XS XU
2017-04 - Correct Code Editor complete list
2017-04 - Correct Code Editor codes do not bypass with modifier 25
2017-04 - Correct Code Editor added do not bypass modifier
2017-04 - Correct Code Editor added code pair edits
2017-04 - Correct Code Editor code pair edits do not bypass with modifiers 59 RT LT XE XS XU
2017-01 - Correct Code Editor to CMS CCI code pair edits
2017-01 - Correct Code Editor complete list
2017-01 - Correct Code Editor codes do not bypass with modifier 25
2017-01 - Correct Code Editor code pair edits do not bypass with modifiers 59 RT LT XE XS XU
2017-01 - Correct Code Editor added do not bypass modifier
2017-01 - Correct Code Editor added code pair edits
2016-10 - Correct Code Editor to CMS CCI code pair edits
2016-10 - Correct Code Editor complete list
2016-10 - Correct Code Editor codes do not bypass with modifier 25
2016-10 - Correct Code Editor code pair edits do not bypass with modifiers 59 RT LT XE XS XU
2016-10 - Correct Code Editor added do not bypass modifier
2016-10 - Correct Code Editor added code pair edits
2016-07 - Correct Code Editor to CMS CCI code pair edits
2016-07 - Correct Code Editor deleted list
2016-07 - Correct Code Editor complete list
2016-07 - Correct Code Editor codes do not bypass with modifier 25
2016-07 - Correct Code Editor code pair edits do not bypass with modifiers 59 RT LT XE XS XU
2016-07 - Correct Code Editor added do not bypass modifier
2016-07 - Correct Code Editor added code pair edits
2016-04 - Correct Code Editor to CMS CCI code pair edits
2016-04 - Correct Code Editor complete list
2016-04 - Correct Code Editor codes do not bypass with modifier 25
2016-04 - Correct Code Editor code pair edits do not bypass with modifiers 59 RT LT XE XS XU
2016-04 - Correct Code Editor added do not bypass modifier
2016-04 - Correct Code Editor added code pair edits
2016-01 - Correct Code Editor to CMS CCI code pair edits
2016-01 - Correct Code Editor complete list
2016-01 - Correct Code Editor codes do not bypass with modifier 25
2016-01 - Correct Code Editor code pair edits do not bypass with modifiers 59 RT LT XE XS XU
2016-01 - Correct Code Editor added do not bypass modifier
2016-01 - Correct Code Editor added code pair edits