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Printed Date: 9/22/2015
Outpatient Code Editor (OCE) has identified a component of a comprehensive procedure reported on same date of service.
National Correct Coding Initiative (NCCI) is developed to prevent inappropriate payment of services that should not be reported together. It contains codes that are not separately payable except under certain circumstances. All claims processed against NCCI tables. There are two NCCI Edit Types:
Each code pair is assigned a modifier indicator:
Review Hospital Outpatient Perspective Payment System (OPPS) NCCI edits (Addendums A and B), compare the services and append an appropriate modifier, if applicable.
Note: If an adjustment needs to be submitted to correct billing errors on a rejected line item, then each applicable line item needs to be deleted and rekeyed in its entirety in order for the previous edit to be deleted. When adding or deleting a line, manually calculate the total charges on 0001 revenue code line.
When deleting & rekeying a revenue code line:
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Last Updated: 10/10/2016