NCCI Edit & Modifier-Bypass Checker

NCCI Edit & Modifier-Bypass Checker - a deterministic tool in Sophie Well's Billing & Reimbursement group.

Open the NCCI Edit & Modifier-Bypass Checker → Runs in your browser. No signup, no tracking.

What this is

NCCI Edit & Modifier-Bypass Checker is one of 230 deterministic tools in Sophie Well's Billing & Reimbursement group. NCCI Edit & Modifier-Bypass Checker - a deterministic tool in Sophie Well's Billing & Reimbursement group.

When to use it

Use this tool when you need a quick, citable reference. Every calculation runs entirely in your browser - no inputs leave your device, no account is required, no AI is involved. The site enforces a strict Content Security Policy and ships no analytics or third-party CDN.

References

CMS National Correct Coding Initiative (NCCI) Policy Manual, Ch. I; Pub. 100-04 Ch. 23. PTP modifier indicator: 0 = no modifier permitted; 1 = a permitted NCCI-associated modifier may bypass; 9 = edit deleted/not active. No PTP edit file ships -- the indicator is entered. Read the source ↗

Worked example: Indicator 1: 59 is an NCCI-associated modifier; it may bypass the edit with supporting documentation. (Illustrative pair -- confirm the indicator in the CMS PTP file.)

Sophie Well is a reference and educational tool. Not medical, legal, or financial advice. Does not replace clinician judgment, professional billing review, or legal counsel.

Built by Clay Good. Source on GitHub.