Medical Coding

Answer: A - Mutually exclusive NCCI edits are code pairs that are unlikely to be performed on the same patient on the same day. When mutually exclusive procedures are submitted on the same day’s claim, only the service of lesser value is reimbursed.

Mutually exclusive NCCI code pairs are those unlikely to be performed on the same day on the same patient. This could be two different tests that give the same results, or two different procedures that usually aren’t performed at the same time. Bundled services are considered comprehensive/component edits instead of mutually exclusive NCCI edits.