curl --request GET \
--url https://sandbox.rcintell.com/v1/ncci/validate \
--header 'X-API-Key: <api-key>'import requests
url = "https://sandbox.rcintell.com/v1/ncci/validate"
headers = {"X-API-Key": "<api-key>"}
response = requests.get(url, headers=headers)
print(response.text)const options = {method: 'GET', headers: {'X-API-Key': '<api-key>'}};
fetch('https://sandbox.rcintell.com/v1/ncci/validate', options)
.then(res => res.json())
.then(res => console.log(res))
.catch(err => console.error(err));<?php
$curl = curl_init();
curl_setopt_array($curl, [
CURLOPT_URL => "https://sandbox.rcintell.com/v1/ncci/validate",
CURLOPT_RETURNTRANSFER => true,
CURLOPT_ENCODING => "",
CURLOPT_MAXREDIRS => 10,
CURLOPT_TIMEOUT => 30,
CURLOPT_HTTP_VERSION => CURL_HTTP_VERSION_1_1,
CURLOPT_CUSTOMREQUEST => "GET",
CURLOPT_HTTPHEADER => [
"X-API-Key: <api-key>"
],
]);
$response = curl_exec($curl);
$err = curl_error($curl);
curl_close($curl);
if ($err) {
echo "cURL Error #:" . $err;
} else {
echo $response;
}package main
import (
"fmt"
"net/http"
"io"
)
func main() {
url := "https://sandbox.rcintell.com/v1/ncci/validate"
req, _ := http.NewRequest("GET", url, nil)
req.Header.Add("X-API-Key", "<api-key>")
res, _ := http.DefaultClient.Do(req)
defer res.Body.Close()
body, _ := io.ReadAll(res.Body)
fmt.Println(string(body))
}HttpResponse<String> response = Unirest.get("https://sandbox.rcintell.com/v1/ncci/validate")
.header("X-API-Key", "<api-key>")
.asString();require 'uri'
require 'net/http'
url = URI("https://sandbox.rcintell.com/v1/ncci/validate")
http = Net::HTTP.new(url.host, url.port)
http.use_ssl = true
request = Net::HTTP::Get.new(url)
request["X-API-Key"] = '<api-key>'
response = http.request(request)
puts response.read_body{
"code1": "<string>",
"code2": "<string>",
"is_bundled": true,
"additional_claim_types": [
{
"claim_type": "<string>",
"modifier_allowed": true,
"modifier_indicator": "<string>",
"ptp_rationale": "<string>"
}
],
"claim_type": "<string>",
"col1_proc_cd": "<string>",
"col2_proc_cd": "<string>",
"edit_scope": "<string>",
"effective_date": "<string>",
"modifier_allowed": true,
"modifier_indicator": "<string>",
"payer": "<string>",
"program": "<string>",
"ptp_rationale": "<string>",
"state": "<string>",
"state_overlay": "<string>"
}{
"detail": [
{
"loc": [
"<string>"
],
"msg": "<string>",
"type": "<string>",
"ctx": {},
"input": "<unknown>"
}
]
}Validate a code pair for PTP bundling
Check whether two procedure codes are bundled under NCCI PTP edits.
curl --request GET \
--url https://sandbox.rcintell.com/v1/ncci/validate \
--header 'X-API-Key: <api-key>'import requests
url = "https://sandbox.rcintell.com/v1/ncci/validate"
headers = {"X-API-Key": "<api-key>"}
response = requests.get(url, headers=headers)
print(response.text)const options = {method: 'GET', headers: {'X-API-Key': '<api-key>'}};
fetch('https://sandbox.rcintell.com/v1/ncci/validate', options)
.then(res => res.json())
.then(res => console.log(res))
.catch(err => console.error(err));<?php
$curl = curl_init();
curl_setopt_array($curl, [
CURLOPT_URL => "https://sandbox.rcintell.com/v1/ncci/validate",
CURLOPT_RETURNTRANSFER => true,
CURLOPT_ENCODING => "",
CURLOPT_MAXREDIRS => 10,
CURLOPT_TIMEOUT => 30,
CURLOPT_HTTP_VERSION => CURL_HTTP_VERSION_1_1,
CURLOPT_CUSTOMREQUEST => "GET",
CURLOPT_HTTPHEADER => [
"X-API-Key: <api-key>"
],
]);
$response = curl_exec($curl);
$err = curl_error($curl);
curl_close($curl);
if ($err) {
echo "cURL Error #:" . $err;
} else {
echo $response;
}package main
import (
"fmt"
"net/http"
"io"
)
func main() {
url := "https://sandbox.rcintell.com/v1/ncci/validate"
req, _ := http.NewRequest("GET", url, nil)
req.Header.Add("X-API-Key", "<api-key>")
res, _ := http.DefaultClient.Do(req)
defer res.Body.Close()
body, _ := io.ReadAll(res.Body)
fmt.Println(string(body))
}HttpResponse<String> response = Unirest.get("https://sandbox.rcintell.com/v1/ncci/validate")
.header("X-API-Key", "<api-key>")
.asString();require 'uri'
require 'net/http'
url = URI("https://sandbox.rcintell.com/v1/ncci/validate")
http = Net::HTTP.new(url.host, url.port)
http.use_ssl = true
request = Net::HTTP::Get.new(url)
request["X-API-Key"] = '<api-key>'
response = http.request(request)
puts response.read_body{
"code1": "<string>",
"code2": "<string>",
"is_bundled": true,
"additional_claim_types": [
{
"claim_type": "<string>",
"modifier_allowed": true,
"modifier_indicator": "<string>",
"ptp_rationale": "<string>"
}
],
"claim_type": "<string>",
"col1_proc_cd": "<string>",
"col2_proc_cd": "<string>",
"edit_scope": "<string>",
"effective_date": "<string>",
"modifier_allowed": true,
"modifier_indicator": "<string>",
"payer": "<string>",
"program": "<string>",
"ptp_rationale": "<string>",
"state": "<string>",
"state_overlay": "<string>"
}{
"detail": [
{
"loc": [
"<string>"
],
"msg": "<string>",
"type": "<string>",
"ctx": {},
"input": "<unknown>"
}
]
}Authorizations
Query Parameters
First procedure code
Second procedure code
Filter by claim type: prac (professional) or hosp (institutional)
Date of service (YYYY-MM-DD); selects the NCCI version active on that date.
Payer slug. medicaid / masshealth / medi_cal selects the CMS Medicaid NCCI file on /validate.
ffs | medicare_advantage | medicaid | commercial
Two-letter US state. With payer=medicaid|masshealth|medi_cal uses the CMS Medicaid NCCI floor for that state.
Response
Successful Response
Result of PTP bundling validation between two codes.
Whether the pair has a PTP edit
If multiple claim types have edits for this pair, additional results are listed here
Show child attributes
Show child attributes
Claim type for this result (professional/institutional)
Column 1 (comprehensive) procedure code
Column 2 (component) procedure code
cms_medicare_national or cms_medicaid_national
Whether a modifier can bypass the bundle
Payer slug that selected the file
medicare or medicaid — which CMS NCCI file was used
Two-letter US state used to scope the query