What are Column 1/Column 2 edits?
The column 1/column 2 correct coding edit table contains two types of code pair edits, as follows: Comprehensive : The code in column 1, which usually represents the more significant (comprehensive) procedure, is compared to the code in column 2, which is considered a subpart (component) of the service in column 1. Claims submitted for reimbursement of both codes without justification will be denied because the service represented by the code in column 1 includes the service represented by the code in column 2. Mutually Exclusive : The code in column 1 is compared to the code in column 2. The claim is denied because it is unlikely that both services would be rendered to the same recipient, by the same provider on the same date of service (for example, a hysterectomy and vasectomy). The column 1/column 2 table has an additional function, to indicate whether the use of NCCI-associated modifiers are allowed in order to bypass the NCCI edit. If the modifier indicator is “1”, providers may
