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National Correct Coding Initiative (NCCI) Edits
Hospital Outpatient Prospective Payment System (OPPS) Version
Version 10.2

(Effective October 1, 2004 - December 31, 2004)



Note: The CCI edits on this Web page are a modified subset of the National Correct Coding Initiative (NCCI) edits.

The CCI edits on this Web page are specifically for Medicare Part B hospital outpatient services paid under the OPPS.

For NCCI edits that apply to Medicare Part B services paid by Medicare carriers, please go to the following Web page: http://www.cms.hhs.gov/physicians/cciedits/.


PLEASE KEEP IN MIND:
Quarterly CCI updates used by Medicare FIs are 1 calendar quarter behind NCCI updates used by Medicare carriers.


The Outpatient Code Editor (OCE) does not include CCI edits for the following: anesthesiology, evaluation & management, mental health, certain injections, derma bond, and computer-aided detection devices. Bypass modifiers and coding pairs in the OCE may differ from those in the NCCI because of differences between facility and professional services.

This Web page is aimed at providing information to providers on Medicare's National CCI edits, but will not address specific CCI edits. If you have concerns regarding specific CCI edits, please submit your comments in writing to:
National Correct Coding Initiative
AdminaStar Federal, Inc.
P.O. Box 50469
Indianapolis, IN 46250-0469

Column 1/Column 2 Correct Coding Edits
(formerly Comprehensive/Component Edits)
Mutually Exclusive Edits Background for CCI Edits
NCCI Questions and Answers


Column 1/Column 2 Correct Coding Edits
(formerly Comprehensive/Component Edits)

Mutually Exclusive Correct Coding Edits


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Last Modified on Thursday, September 30, 2004