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The analysis of any legal or medical billing is dependent on numerous specific facts — including the factual situations present related to the patients, the practice, the professionals and the medical services and advice. Additionally, laws and regulations and insurance and payer policies are subject to change. The information that has been accurate previously can be particularly dependent on changes in time or circumstances. The information contained in this web site is intended as general information only. It is not intended to serve as medical, health, legal or financial advice or as a substitute for professional advice of a medical coding professional, healthcare consultant, physician or medical professional, legal counsel, accountant or financial advisor. If you have a question about a specific matter, you should contact a professional advisor directly. CPT copyright American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.

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National Correct Coding Initiative 

Welcome to our NCCI page.  Members have full access to the code tables below and can request information on any code paring along with how to use the modifiers correctly.  

Updated: January 2024 - Edits did not change in May 2024

Procedure to Procedure (PTP) Edits 

    • PTP Basics
    • Using Modifier 59 and X~ Modifiers
    • PTP Hospital Edits - January 2024
    • PTP Practitioner Edits - January 2024

Add-on Code Edits

    • Biofeedback
    • Cognitive intervention
    • Work Hardening
    • Wound Debridement 

Medically Unlikely Edits (MUE)

    • Guide to Using Medically Unlikely Edits
    • January 2024
    • October 2023
    • June 2023
    • January 2023

Policy for Physical Medicine and Rehabilitation - January 1, 2024

    • Multiple Evaluations on the Same Day
    • Evaluations and other Assessment Codes
    • Billing more than one Service in a 15 Minute Period
    • Re-evaluations
    • Re-evaluation and Orthotic/Prosthetic Management
    • Assistive Technology Assessment
    • Manual Therapy Techniques and Therapeutic Activities (Removed Jan. 1, 2021)
    • Wound Debridement and Surgical Debridement
    • Cardiac Rehabilitation and other Therapy Services
    • Ultrasound and Wound Care

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Therapy Comply is a healthcare compliance firm that seeks to bring high quality web-based compliance guidance and one-on-one consulting services to small and medium size physical, occupational, and speech therapy practices.

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