`check_code_pair`

Pack: medicare-pricing · Endpoint: https://gateway.pipeworx.io/medicare-pricing/mcp

Can two procedure codes be billed together on the same day? Checks the CMS National Correct Coding Initiative procedure-to-procedure (PTP) edit for a pair of HCPCS/CPT codes and returns the modifier indicator saying whether the pair can never be unbundled, can be unbundled with an appropriate modifier and documentation, or carries no edit in the loaded data. Answers “can I bill 99214 and 93000 together”, “is there an NCCI edit between these two codes”, “do I need a modifier for this code combination”.

Parameters

Name	Type	Required	Description
`code_a`	string	yes	First HCPCS/CPT code, e.g. “99214”.
`code_b`	string	yes	Second HCPCS/CPT code, e.g. “93000”.
`setting`	string	no	Which edit table: “practitioner” (default) or “hospital” (outpatient facility). Edits can differ between them.

Example call

Arguments

{
  "code_a": "00142",
  "code_b": "64474"
}

curl

curl -X POST https://gateway.pipeworx.io/medicare-pricing/mcp \
  -H 'Content-Type: application/json' \
  -d '{"jsonrpc":"2.0","id":1,"method":"tools/call","params":{"name":"check_code_pair","arguments":{"code_a":"00142","code_b":"64474"}}}'

TypeScript (@pipeworx/sdk)

import { Pipeworx } from '@pipeworx/sdk';
const pipeworx = new Pipeworx();

const result = await pipeworx.call('check_code_pair', {
  "code_a": "00142",
  "code_b": "64474"
});

Connect

Add this to your MCP client config, or use one-click install buttons:

{
  "mcpServers": {
    "medicare-pricing": {
      "url": "https://gateway.pipeworx.io/medicare-pricing/mcp"
    }
  }
}

See Getting Started for client-specific install steps.

check_code_pair