Getting Paid: Procedure-to-Procedure Coding Edits

Payers use procedure-to-procedure (PTP) code edit applications to compare the procedure codes submitted on a claim to files of code pairs that a payer has determined should not be reported on the same date. This article discusses PTP code edits and how to appropriately use modifiers to avoid underpayment.Purpose of PTP editsNational Correct Coding Initiative (NCCI) PTP code editsModifier indicatorsEdit rationales and modifier useAppealing PTP edit designations