広告掲載
MCP.so
ログイン

NCCI Claims Validation — CPT Code Pair Edits + MUE Limits MCP Se…

@easysolutions906

リポジトリ

基本情報

カテゴリ

開発者ツール

トランスポート

stdio

作者

easysolutions906

投稿者

easysolutions906

NCCI Claims Validation — CPT Code Pair Edits + MUE Limits MCP Server について

Validate CPT/HCPCS code pairs against NCCI edits. Check if codes can be billed together, what modifiers are needed, and MUE unit limits. Prevents claim denials. No public API like this exists.

#ncci#medicalbilling#cpt#claims#compliance#healthcare#mcp

NCCI Claims Validation — CPT Code Pair Edits + MUE Limits MCP Server の設定

以下の設定を使って、このサーバーを MCP 対応クライアントに追加してください。

{
  "mcpServers": {
    "ncci": {
      "command": "npx",
      "args": [
        "-y",
        "@easysolutions906/ncci-api"
      ]
    }
  }
}

NCCI Claims Validation — CPT Code Pair Edits + MUE Limits MCP Server のツール

ツール一覧はまだありません

この掲載には表示できるツール一覧がまだありません。サーバーにツールがないという意味ではありません。対応機能はプロジェクトのドキュメントをご確認ください。

上のボタンで一時的なサンドボックスでこのサーバーを実行し、ツール一覧を取得できます。

概要

What is NCCI Claims Validation — CPT Code Pair Edits + MUE Limits?

A Model Context Protocol (MCP) server that validates CPT/HCPCS code pairs against CMS National Correct Coding Initiative (NCCI) edits. It checks Procedure-to-Procedure (PTP) bundling edits and Medically Unlikely Edits (MUE) to help prevent claim denials for medical billers and compliance teams.

How to use NCCI Claims Validation — CPT Code Pair Edits + MUE Limits?

Install and run via npx @easysolutions906/ncci-api. Configure as an MCP server in Claude Desktop (claude_desktop_config.json) or Cursor (.cursor/mcp.json). Optionally run as an HTTP server by setting the PORT environment variable. Use the provided tools (ncci_validate_pair, ncci_validate_claim, ncci_edits, ncci_mue, ncci_search) to perform validations.

Key features of NCCI Claims Validation — CPT Code Pair Edits + MUE Limits

  • Five MCP tools for pair, claim, code edits, MUE, and search
  • Covers 20+ medical specialties (allergy to wound repair)
  • Returns modifier requirements, edit status, and rationale
  • Free tier (20 validations/day) with paid plans up to 50,000/day
  • Supports stdio (local) and HTTP (Streamable HTTP) transports
  • Audit trail with data version, build date, and timestamp

Use cases of NCCI Claims Validation — CPT Code Pair Edits + MUE Limits

  • Checking if two CPT codes can be billed together before claim submission
  • Validating an entire claim for all PTP edits and MUE violations
  • Looking up all NCCI edits for a specific code and its bundled pairs
  • Determining the maximum units allowed per code (MUE limits)
  • Searching edits by code, procedure name, or category

よくある質問

1

How does this differ from using raw CMS NCCI files?

It provides instant, programmatic validation with clear modifier guidance instead of requiring manual parsing of quarterly CMS data.

2

What are the dependencies and runtime requirements?

Requires Node.js and npx. The server runs locally via stdio or can be deployed as an HTTP server.

3

Where does the NCCI data live, and is it updated?

Data is bundled with the server and covers multiple specialties. It can be updated by running `npm run build-data`. Each response includes the CMS quarter (`dataVersion`) and build date.

4

What transports and authentication are available?

Default transport is stdio; set `PORT` env var for Streamable HTTP mode on `/mcp`. HTTP servers optionally require an `ADMIN_SECRET` for the checkout and admin endpoints. The MCP tools themselves do not require authentication.

5

Are there any usage limits?

Yes. The free plan allows 20 validations per day with 5 per minute rate. Paid plans remove those limits (Starter: 500/day, Pro: 5,000/day, Business: 50,000/day).

コメント

「開発者ツール」の他のコンテンツ

Capgo MCP

Cap-go

Console, Backend and CLI to manage Capgo Instant update and Native build for Capacitor apps Build and upload to app store your mobile app

Zyte MCP

Zyte

Zyte MCP is a remote MCP server available at https://mcp.zyte.com/v1/mcp/, that lets an agent use Zyte on your behalf: to get web pages, to extract data from them, to search the web, and to work with your Scrapy Cloud pr

Pugi

Pugi Inc.

Pugi is an AI product team that builds, checks and publishes websites and apps. Its MCP server gives agents a passive website security check graded A+ to F (headers, TLS, cookies, exposed keys in scripts), free with a no

Nebelus

Nebelus

Nebelus is an enterprise agentic-AI platform for regulated industries. This MCP server exposes the Nebelus Construction API: ~48 tools that give an MCP client full agent build parity — create/update/probe agents, edit ag

Moxie Docs

Jackalope-Dev

Automated codebase documentation for GitHub: searchable docs, MCP context for AI agents, doc drift detection, and Friday Cleanup PRs.

1
広告掲載