Explain Ncci Edit
explain_ncci_editWhat NCCI procedure-to-procedure edits exist for a single code? Lists the other codes this HCPCS/CPT code has a recorded PTP edit with — whether it is the code you bill (Column 1) or the one bundled into another (Column 2) — with each pair's modifier indicator. Answers "what codes conflict with 99214", "what is bundled into this procedure", "why would this code be denied when billed with something else". Same full-baseline coverage as check_code_pair (CMS's FULL NCCI PTP edit baseline, 2026q3 v322r0, not just a rolling change window) — an empty result means no PTP edit has ever been recorded for this code, not merely "no recent change".
Input Schema
| Name | Required | Description | Default |
|---|---|---|---|
| code | Yes | HCPCS/CPT code, e.g. "99214". | |
| status | No | Filter to "active" (default — currently in effect) or "all" (include deleted edits too). | |
| setting | No | Which edit table: "practitioner" (default) or "hospital". |