National Correct Coding Initiative (NCCI) FAQ

The National Correct Coding Initiative (NCCI) is a Centers for Medicare & Medicaid Services (CMS) program designed to prevent improper payment of procedures that should not be submitted together. There are two categories of edits:

(i) Physician Edits: these code pair edits apply to physicians, non-physician practitioners, and Ambulatory Surgery Centers

(ii) Hospital Outpatient Prospective Payment System Edits (Outpatient Edits): these edits apply to the following types of bills:

1.  Hospitals
2. Skilled Nursing Facilities
3. Home Health Agencies Part
4. Outpatient
5. Physical
6. Therapy and Speech Language Pathology Providers
7. Comprehensive  Outpatient Rehabilitation Facilities.

National Correct Coding Initiative (NCCI) Frequently Asked Questions (FAQ):

https://www.cms.gov/medicare/national-correct-coding-initiative-edits/ncci-faqs