What do the NCCI/CCI columns 1 and 2 mean?
The column 1/column 2 correct coding edit table contains two types of code pair edits. In the “Comprehensive Code” edits table, the column 1 code generally represents the more significant procedure or service when reported with the column 2 code. When reported with the column 2 code, “column 1” generally represents the code with the greater work RVU of the two codes. The “Mutually Exclusive” edit table contains code pairs that Medicare believes should not be reported together where one code is assigned as the column 1 code and the other code is assigned as the column 2 code. If a provider submits two codes of a code pair edit for the same Medicare beneficiary for the same date of service without an appropriate modifier, the column 1 code is paid. If clinical circumstances justify appending a NCCI/CCI-associated modifier to the column 2 code of a code pair edit, payment of both codes may be allowed.
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