Medicare Advantage, Part D, Medicaid

CMS NCCI Procedure-to-Procedure (PTP) edits — quarterly editions, practitioner and hospital, stamped

medicare_silver.ref_ncci_ptp_edit·live·silver

Rows

4,506,527

Columns

History

N/A

Card

nocolumns only

Typed tools

What it is

1CMS NCCI PTP edits re-collected through the provenance envelope on 2026-09-07: both settings, every pair as published with effective and deletion dates, modifier indicator and rationale.
2Filter deletion_date IS NULL for the active edit set (the legacy ncci_ptp was that active practitioner set for one quarter).
3CPT descriptors are not stored (AMA license accepted openly; the license page is kept in bronze).

Grain

Key	Grain
N/A	1One row per (edition, setting, pair as published) including pairs carrying a deletion_date; natural key (edition, row_seq); 24,506,527 rows for 2026Q4 (practitioner 2,637,645 / hospital 1,868,882).

Columns (28)

Column	Type	Meaning
`edition`	string
`row_seq`	bigint
`setting`	string
`version`	string
`part`	int
`column_1_code`	string
`column_2_code`	string
`prior_to_1996`	boolean
`effective_date`	string
`deletion_date`	string
`modifier_indicator`	string
`ptp_edit_rationale`	string
`source_member`	string
`observed_period`	date
`asserted_at`	date
`effective_period_start`	date
`effective_period_end`	date
`cms_vintage_sequence`	int
`parse_revision`	int
`parser_artifact_hash`	string
`source_url`	string
`sha256_content_hash`	string
`source_id`	string
`is_current`	boolean
`bronze_object_key`	string
`s3_version_id`	string
`vintage_tag`	string
`drug_source_version_id`	string

Query it

describe_data_source(source_fqn="medicare_silver.ref_ncci_ptp_edit")     # the card, live
query_substrate(sql="SELECT * FROM medicare_silver.ref_ncci_ptp_edit WHERE <filter> LIMIT 100")

Item	Value
Typed tools that read it	none; raw SQL
Identity key	`column_1_code`
Join	`how_to_join(source_fqn="medicare_silver.ref_ncci_ptp_edit")`
Raw door	Athena (read-only via query_substrate): medicare_silver.ref_ncci_ptp_edit
Note	Iceberg table medicare_silver.ncci_ptp. Loaded from the CMS 2026 Q3 Practitioner PTP 4-part text export (>2.6M rows) deduped to 1,728,585 active unique pairs. The pricer queries it per-book (edits among present codes only), not a full in-memory load.

This page as markdown: /docs-md/data/medicare_silver_ref_ncci_ptp_edit.md · every page in one file: /llms-full.txt