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if you're struggling to understand when you can build certain cpt codes together and when you can't build certain cpt codes together stick around because i'm going to give you a step-by-step guide on medical coding bundling edits hey everyone i'm victoria i'm a medical coder auditor educator and content creator and on my channel i provide tips tricks and tutorials to help you be successful in a medical coding career if you haven't already make sure you smash that subscribe button hit that notification bell so you can get alerts when i post new episodes so the ncci is the national correct coding initiative it's developed and maintained by cms the centers for medicare and medicaid services and it actually has three parts the first is the procedure to procedure edit so things that yes you can build these together no you can't ever build these together or maybe sometimes you can build these together depending on if it's clinically appropriate and unbundle them with a modifier under the ptp we have two different types of tables we have the hospital ones which are for the opps services that are built under the outpatient prospective payment system and then the practitioner lists which are the provider or pro fee based services i'll show you those in a couple minutes so we can start looking up some code pairs and then there are the mues mues are the medically unlikely edits so the maximum number of units you would bill of a service in a day so for example a patient would be very unlikely to have more than two below the knee amputations in one day because a patient only has two legs same thing with carpal tunnel repairs or cataract repairs and then there's some services that medicare will only pay for a certain maximum of them in a day even if you do a large amount things like skin grafts or rotation flaps where you can just continually add on units and then there's the aoc edits aoc meaning the add-on code and that's a cpt or hitpix code that describes a service that with a rare exception is performed in conjunction with another primary service we add it on so they're rarely eligible for payment if that's the only service that was provided so in most cases an add-on code has to be added on to something else they are not typically reimbursed when just an add-on service is done so ncci national correct coding initiative we have the ptp procedure to procedure the mues medically unlikely edits and the aoc add-on codes and they are all updated quarterly by cms now if you're new to learning about ncci the place you want to start out is cms.gov so what you want to do is go to cms.gov click up here on the top left hand corner where it says medicare and scroll down to the section that says coding and under here is national correct...