Frequently Asked Questions

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FAQ

What does "column 2" mean in the column 1/column 2 correct coding edits table?

If the two codes of a National Correct Coding Initiative (NCCI) procedure to procedure (PTP) edit pair are reported for the same beneficiary by the same provider for the same date of service, the column two code is generally not eligible for payment. However, if the PTP edit allows use of NCCI-associated modifiers (i.e., modifier indicator of "1"), use of an appropriate NCCI-associated modifier allows both codes of the edit pair to be eligible for payment.
(FAQ11234)

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