Review coding before submission
Use official reference data as one part of a documented billing review.
Confirm release and context
Match the code set to the service date and care setting. Review the complete ICD-10 tabular instructions and documentation.
Review procedure pairs
NCCI practitioner PTP edits identify certain incompatible pairs. Modifier indicator 1 permits consideration of a documented exception; it does not automatically justify a modifier.
Complete payer-specific review
Check coverage, authorization, MUEs, add-on codes and payer requirements separately. An empty PTP result is not claim clearance.
The current checker covers Medicare practitioner PTP edits, not hospital outpatient PTP or every payer rule.
Checked against the linked sources in September 2026. Not yet reviewed by a named clinician or billing professional; that review is planned and will be shown here when complete.
Check procedure pairs