`explain_ncci_edit`

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

What NCCI procedure-to-procedure edits exist for a single code? Lists the other codes this HCPCS/CPT code has a recorded PTP edit with — whether it is the code you bill (Column 1) or the one bundled into another (Column 2) — with each pair’s modifier indicator. Answers “what codes conflict with 99214”, “what is bundled into this procedure”, “why would this code be denied when billed with something else”.

Parameters

Name	Type	Required	Description
`code`	string	yes	HCPCS/CPT code, e.g. “99214”.
`setting`	string	no	Which edit table: “practitioner” (default) or “hospital”.
`status`	string	no	Filter to “active” (default — currently in effect) or “all” (include deleted edits too).

Example call

Arguments

{
  "code": "00142"
}

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":"explain_ncci_edit","arguments":{"code":"00142"}}}'

TypeScript (@pipeworx/sdk)

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

const result = await pipeworx.call('explain_ncci_edit', {
  "code": "00142"
});

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.

explain_ncci_edit