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Question:
What’s the difference between the Outpatient Code Editor (OCE) edits and the National Correct Coding Initiative (NCCI) procedure to procedure (PTP) edits?
Answer:
The Outpatient Code Editor (OCE) is utilized to edit outpatient prospective payment system hospital claims processed through the Fiscal Intermediary Shared System (FISS). It contains more than 50 types of edits. NCCI PTP edits are one type of edit incorporated into OCE. The NCCI PTP edits incorporated into OCE are a subset of NCCI PTP edits utilized to adjudicate physician/practitioner claims through the Multi-Carrier System (MCS).
CPT® copyright 2023 American Medical Association (AMA). All rights reserved.
Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
CPT is a registered trademark of the American Medical Association.
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