National Correct Coding Initiative (NCCI) Tool

The National Correct Coding Initiative (NCCI) packages, or 'bundles,' reimbursement for some services under Medicare. NCCI identifies code pairs that are never reimbursed separately and code pairs that can only be reimbursed separately in certain circumstances (identified by the appropriate modifier). Please use the NCCI tool to determine if the service you are submitting is bundled with another service.

Exceptions to NCCI bundling must be documented in patients’ medical records and submitted with the appropriate modifier(s). These ‘exception’ modifiers must be submitted with the correct CPT or HCPCS code. This tool will also help you identify which modifier to use, if appropriate.

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