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GET
Validate a code pair against Medicaid PTP edits

Authorizations

X-API-Key
string
header
required

Query Parameters

code1
string
required

First procedure code

code2
string
required

Second procedure code

claim_type
enum<string> | null

prac, hosp, or dme

Available options:
prac,
hosp,
dme
date_of_service
string<date> | null

Date of service (YYYY-MM-DD)

Response

Successful Response

Result of Medicaid PTP bundling validation between two codes.

code1
string
required
code2
string
required
is_bundled
boolean
required

Whether the pair has a Medicaid PTP edit

additional_claim_types
NCCIValidateClaimTypeResult · object[] | null
claim_type
string | null

Claim type for this result (professional/institutional/dme)

col1_proc_cd
string | null
col2_proc_cd
string | null
effective_date
string | null
modifier_allowed
boolean | null
modifier_indicator
string | null
program
string
default:medicaid
Allowed value: "medicaid"
ptp_rationale
string | null