NCCI Code Pairs — 0109T

Complete listing of CMS National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edits involving HCPCS/CPT code 0109T.

5 Total Edits 5 as Column 1

Column 1 Pairs 0109T is the primary code

When 0109T is reported as the Column 1 (comprehensive) code, the paired Column 2 code is bundled and generally not separately payable.

Medicaid Facility — 2 pairs

Paired Code	Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A	Rationale	Effective	End Date
36591 · CCI	1 Modifier allowed — a NCCI-associated modifier may permit separate reporting	CPT Manual or CMS manual coding instruction	2015-10-01	2199-12-31
36592 · CCI	1 Modifier allowed — a NCCI-associated modifier may permit separate reporting	CPT Manual or CMS manual coding instruction	2015-10-01	2199-12-31

Medicaid Practitioner — 3 pairs

Paired Code	Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A	Rationale	Effective	End Date
96523 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	CPT Manual or CMS manual coding instruction	2019-04-01	2199-12-31
36591 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	CPT Manual or CMS manual coding instruction	2015-10-01	2199-12-31
36592 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	CPT Manual or CMS manual coding instruction	2015-10-01	2199-12-31

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