Compliance Tool

NCCI Edit Validator

Enter CPT® or HCPCS codes from a claim to check for NCCI PTP edit conflicts and MUE limits.

  • Indexes 3.1M+ NCCI PTP edits across both Practitioner and Hospital Outpatient settings.
  • Pair-checks every combination of the codes you enter; surfaces FAIL (no override) and WEAK (override available) verdicts with the matching modifier rubric inline.
  • Returns the MUE limit + MAI category for each input code in a separate table.
  • Bridges to Modifier Advisor for the canonical override modifier (Mod 25 if E/M+procedure, else Mod 59).

You enter

0001U, 0029U

You get

WEAK pair → Modifier 59 rubric (Distinct anatomic site, Distinct procedural session, No more specific X-modifier applies, Operative documentation justifies separation).

NCCI Edit Validator is a Starter feature

Create a free account to get started.

Join the early access listCompare plans

The responsibility for the content of any “National Correct Coding Policy” included in this product is with the Centers for Medicare and Medicaid Services and no endorsement by the AMA is intended or should be implied. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, nonuse or interpretation of information contained in this product.