How many types of edits does NCCI include?

The National Correct Coding Initiative (NCCI) includes two primary types of edits, namely Column 1/Column 2 edits and Mutually Exclusive edits. Column 1/Column 2 edits are designed to prevent improper billing by linking related medical services such that one service (the Column 1 procedure) is the primary service, while a related but distinct service (the Column 2 procedure) may not frequently be necessary or can only be billed in a specific context. Mutually Exclusive edits, on the other hand, are aimed at preventing the billing of two procedures that are not typically performed together or are alternatives to one another.

Understanding that NCCI serves to maintain coding integrity and optimize accurate reimbursement is crucial. The presence of these two types of edits helps ensure that claims are submitted correctly, reducing the likelihood of denials or audits. Each of these edit types plays a role in the broader effort of ensuring appropriate healthcare billing practices.