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NCCI Code Pairs — 0549T

Complete listing of CMS National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edits involving HCPCS/CPT code 0549T.

677 Total Edits 658 as Column 1 19 as Column 2
← View HCPCS 0549T Detail Page

Column 1 Pairs 0549T is the primary code

When 0549T is reported as the Column 1 (comprehensive) code, the paired Column 2 code is bundled and generally not separately payable.

Medicare Facility (Hospital Outpatient) — 184 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
0596T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2021-01-01 2022-06-30
0597T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2021-01-01 2022-06-30
99495 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2020-10-01 2022-06-30
99496 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2020-10-01 2022-06-30
64450 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-04-01 2022-06-30
0216T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
0228T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2020-12-31
0230T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2020-12-31
0551T · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2020-01-01 2021-12-31
11000 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
11001 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
11004 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
11005 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
11006 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
11042 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
11043 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
11044 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
11045 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
11046 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
11047 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12001 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12002 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12004 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12005 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12006 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12007 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12011 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12013 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12014 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12015 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12016 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12017 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12018 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12020 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12021 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12031 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12032 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12034 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12035 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12036 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12037 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12041 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12042 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12044 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12045 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12046 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12047 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12051 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12052 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12053 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12054 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12055 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12056 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12057 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
13100 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
13101 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
13102 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
13120 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
13121 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
13122 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
13131 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
13132 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
13133 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
13151 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
13152 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
13153 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
36000 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
36400 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
36405 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
36406 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
36410 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
36420 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
36425 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
36430 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
36440 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
36600 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
36640 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
43752 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
51701 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
51702 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
51703 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
51990 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
More extensive procedure 2020-01-01 2022-06-30
51992 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
More extensive procedure 2020-01-01 2022-06-30
52000 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2020-01-01 2022-06-30
52301 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Sequential procedure 2020-01-01 2022-06-30
53000 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Separate procedure definition 2020-01-01 2022-06-30
53010 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Separate procedure definition 2020-01-01 2022-06-30
53020 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Separate procedure definition 2020-01-01 2022-06-30
53025 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Separate procedure definition 2020-01-01 2022-06-30
53080 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Separate procedure definition 2020-01-01 2022-06-30
53444 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2020-01-01 2022-06-30
62320 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
62321 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
62322 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
62323 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
62324 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
62325 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
62326 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
62327 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64400 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64405 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64408 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64415 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64416 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64417 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64418 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64420 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64421 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64425 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64430 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64435 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64445 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64446 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64447 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64448 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64449 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
93005 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
0213T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
96377 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
97597 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
97598 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
97602 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
99155 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
99156 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
99157 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
99495 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Manual or CMS manual coding instruction 2020-01-01 2020-01-01
99496 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Manual or CMS manual coding instruction 2020-01-01 2020-01-01
G0471 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-01-01 2022-06-30
64461 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64462 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64463 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64479 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64480 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64483 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64484 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64486 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64487 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64488 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64489 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64490 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64491 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64492 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64493 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64494 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64495 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64505 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64510 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64517 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64520 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64530 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
69990 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
76000 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2020-01-01 2022-06-30
77002 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2020-01-01 2022-06-30
93000 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
93010 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
93040 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
93041 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
93042 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
93318 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
93355 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2022-06-30
94002 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
94200 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
94250 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2020-12-31
94680 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
94681 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
94690 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
94770 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2020-12-31
95812 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
95813 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
95816 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
95819 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
95822 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
95829 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
95955 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
96360 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
96361 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
96365 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
96366 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
96367 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
96368 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
96372 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
96374 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
96375 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
96376 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
Medicaid Facility — 186 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
0597T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2021-01-01 2022-06-30
0596T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2021-01-01 2022-06-30
99495 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2020-10-01 2022-06-30
99496 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2020-10-01 2022-06-30
64450 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-04-01 2022-06-30
13121 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
0213T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
0216T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
0228T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2020-12-31
0230T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2020-12-31
0551T · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2020-01-01 2021-12-31
11000 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
11001 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
11004 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
11005 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
11006 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
11042 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
11043 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
11044 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
11045 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
11046 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
11047 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12001 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12002 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12004 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12005 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12006 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12007 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12011 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12013 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12014 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12015 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12016 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12017 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12018 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12020 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12021 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12031 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12032 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12034 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12035 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12036 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12037 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12041 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12042 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12044 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12045 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12046 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12047 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12051 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12052 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12053 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12054 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12055 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12056 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12057 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
13100 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
13101 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
13102 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
13120 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
13122 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
13131 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
13132 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
13133 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
13151 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
13152 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
13153 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
36000 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
36400 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
36405 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
36406 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
36410 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
36420 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
36425 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
36430 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
36440 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
36591 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-01-01 2022-06-30
36592 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-01-01 2022-06-30
36600 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
36640 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
43752 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
51701 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
51702 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
51703 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
51990 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
More extensive procedure 2020-01-01 2022-06-30
51992 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
More extensive procedure 2020-01-01 2022-06-30
52000 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2020-01-01 2022-06-30
52301 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Sequential procedure 2020-01-01 2022-06-30
53000 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Separate procedure definition 2020-01-01 2022-06-30
53010 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Separate procedure definition 2020-01-01 2022-06-30
53020 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Separate procedure definition 2020-01-01 2022-06-30
53025 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Separate procedure definition 2020-01-01 2022-06-30
53080 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Separate procedure definition 2020-01-01 2022-06-30
53444 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2020-01-01 2022-06-30
62320 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
62321 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
62322 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
62323 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
62324 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
62325 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
62326 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
62327 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64400 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64405 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64408 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64415 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64416 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64417 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64418 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64420 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64421 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64425 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64430 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64435 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64445 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64446 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64447 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64448 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64449 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64461 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64462 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64463 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64479 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64480 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64483 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64484 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64486 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64487 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64488 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64489 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64490 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64491 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64492 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64493 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64494 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64495 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64505 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64510 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64517 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64520 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64530 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
69990 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
76000 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2020-01-01 2022-06-30
77002 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2020-01-01 2022-06-30
93000 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
93005 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
93010 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
93040 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
93041 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
93042 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
93318 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
93355 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2022-06-30
94002 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
94200 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
94250 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2020-12-31
94680 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
94681 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
94690 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
94770 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2020-12-31
95812 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
95813 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
95816 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
95819 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
95822 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
95829 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
95955 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
96360 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
96361 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
96365 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
96366 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
96367 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
96368 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
96372 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
96374 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
96375 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
96376 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
96377 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
97597 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
97598 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
97602 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
99155 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
99156 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
99157 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
99495 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Manual or CMS manual coding instruction 2020-01-01 2020-01-01
99496 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Manual or CMS manual coding instruction 2020-01-01 2020-01-01
G0471 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-01-01 2022-06-30
Medicaid Practitioner — 288 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
0596T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2021-01-01 2022-06-30
0597T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2021-01-01 2022-06-30
99308 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2022-06-30
99219 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2022-06-30
99309 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2022-06-30
99236 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2022-06-30
99310 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2022-06-30
99213 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2022-06-30
99315 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2022-06-30
99238 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2022-06-30
99316 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2022-06-30
99220 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2022-06-30
99334 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2022-06-30
99239 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2022-06-30
99335 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2022-06-30
99336 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2022-06-30
99221 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2022-06-30
99337 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2022-06-30
99214 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2022-06-30
99347 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2022-06-30
99222 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2022-06-30
99348 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2022-06-30
99211 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2022-06-30
99349 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2022-06-30
99223 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2022-06-30
99350 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2022-06-30
99215 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2022-06-30
99231 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2022-06-30
99232 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2022-06-30
99217 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2022-06-30
99291 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2022-06-30
99233 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2022-06-30
99292 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2022-06-30
99212 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2022-06-30
99304 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2022-06-30
99234 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2022-06-30
99496 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2020-10-01 2022-06-30
99235 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2022-06-30
99307 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2022-06-30
99306 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2022-06-30
99495 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2020-10-01 2022-06-30
99305 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2022-06-30
99218 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2022-06-30
64450 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-04-01 2022-06-30
12045 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12046 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12047 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12051 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12052 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12053 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12054 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12055 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12056 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12057 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
13100 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
13101 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
13102 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
13120 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
13121 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
13122 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
13131 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
13132 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
13133 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
13151 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
13152 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
13153 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
36000 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
36400 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
36405 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
36406 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
36410 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
36420 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
36425 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
36430 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
36440 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
36591 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2020-01-01 2022-06-30
36592 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2020-01-01 2022-06-30
36600 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
36640 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
43752 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
51701 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
51702 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
51703 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
51990 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
More extensive procedure 2020-01-01 2022-06-30
51992 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
More extensive procedure 2020-01-01 2022-06-30
52000 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2020-01-01 2022-06-30
52301 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Sequential procedure 2020-01-01 2022-06-30
53000 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Separate procedure definition 2020-01-01 2022-06-30
53010 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Separate procedure definition 2020-01-01 2022-06-30
53020 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Separate procedure definition 2020-01-01 2022-06-30
53025 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Separate procedure definition 2020-01-01 2022-06-30
53080 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Separate procedure definition 2020-01-01 2022-06-30
53444 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2020-01-01 2022-06-30
62320 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
62321 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
62322 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
62323 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
62324 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
62325 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
62326 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
62327 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64400 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64405 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64408 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64415 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64416 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64417 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64418 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64420 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64421 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64425 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64430 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64435 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64445 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64446 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64447 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64448 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64449 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64461 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64462 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64463 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64479 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64480 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64483 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64484 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64486 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64487 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64488 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64489 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64490 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64491 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64492 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64493 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64494 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64495 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64505 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64510 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64517 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64520 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
64530 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
69990 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
76000 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2020-01-01 2022-06-30
77002 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2020-01-01 2022-06-30
92012 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-01-01 2022-06-30
92014 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-01-01 2022-06-30
93000 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
93005 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
93010 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
93040 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
93041 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
93042 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
93318 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
93355 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2022-06-30
94002 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
94200 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
94250 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2020-12-31
94680 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
94681 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
94690 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
94770 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2020-12-31
95812 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
95813 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
95816 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
95819 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
95822 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
95829 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
95955 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
96360 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
96361 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
96365 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
96366 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
96367 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
96368 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
96372 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
96374 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
96375 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
96376 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
96377 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
99496 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Manual or CMS manual coding instruction 2020-01-01 2020-01-01
97597 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
97598 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
97602 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
99155 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
99156 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
99157 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
99211 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Manual or CMS manual coding instruction 2020-01-01 2020-01-01
99212 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Manual or CMS manual coding instruction 2020-01-01 2020-01-01
99213 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Manual or CMS manual coding instruction 2020-01-01 2020-01-01
99214 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Manual or CMS manual coding instruction 2020-01-01 2020-01-01
99215 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Manual or CMS manual coding instruction 2020-01-01 2020-01-01
99217 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Manual or CMS manual coding instruction 2020-01-01 2020-01-01
99218 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Manual or CMS manual coding instruction 2020-01-01 2020-01-01
99219 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Manual or CMS manual coding instruction 2020-01-01 2020-01-01
99220 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Manual or CMS manual coding instruction 2020-01-01 2020-01-01
99221 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Manual or CMS manual coding instruction 2020-01-01 2020-01-01
99222 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Manual or CMS manual coding instruction 2020-01-01 2020-01-01
99223 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Manual or CMS manual coding instruction 2020-01-01 2020-01-01
99231 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Manual or CMS manual coding instruction 2020-01-01 2020-01-01
99232 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Manual or CMS manual coding instruction 2020-01-01 2020-01-01
99233 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Manual or CMS manual coding instruction 2020-01-01 2020-01-01
99234 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Manual or CMS manual coding instruction 2020-01-01 2020-01-01
99235 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Manual or CMS manual coding instruction 2020-01-01 2020-01-01
99236 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Manual or CMS manual coding instruction 2020-01-01 2020-01-01
99238 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Manual or CMS manual coding instruction 2020-01-01 2020-01-01
99239 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Manual or CMS manual coding instruction 2020-01-01 2020-01-01
99241 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-01-01 2022-06-30
99242 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-01-01 2022-06-30
99243 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-01-01 2022-06-30
99244 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-01-01 2022-06-30
99245 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-01-01 2022-06-30
99251 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-01-01 2022-06-30
99252 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-01-01 2022-06-30
99253 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-01-01 2022-06-30
99254 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-01-01 2022-06-30
99255 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-01-01 2022-06-30
99291 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Manual or CMS manual coding instruction 2020-01-01 2020-01-01
99292 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Manual or CMS manual coding instruction 2020-01-01 2020-01-01
99304 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Manual or CMS manual coding instruction 2020-01-01 2020-01-01
99305 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Manual or CMS manual coding instruction 2020-01-01 2020-01-01
99306 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Manual or CMS manual coding instruction 2020-01-01 2020-01-01
99307 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Manual or CMS manual coding instruction 2020-01-01 2020-01-01
99308 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Manual or CMS manual coding instruction 2020-01-01 2020-01-01
99309 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Manual or CMS manual coding instruction 2020-01-01 2020-01-01
99310 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Manual or CMS manual coding instruction 2020-01-01 2020-01-01
99315 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Manual or CMS manual coding instruction 2020-01-01 2020-01-01
99316 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Manual or CMS manual coding instruction 2020-01-01 2020-01-01
99334 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Manual or CMS manual coding instruction 2020-01-01 2020-01-01
99335 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Manual or CMS manual coding instruction 2020-01-01 2020-01-01
99336 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Manual or CMS manual coding instruction 2020-01-01 2020-01-01
99337 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Manual or CMS manual coding instruction 2020-01-01 2020-01-01
99347 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Manual or CMS manual coding instruction 2020-01-01 2020-01-01
99348 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Manual or CMS manual coding instruction 2020-01-01 2020-01-01
99349 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Manual or CMS manual coding instruction 2020-01-01 2020-01-01
99350 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Manual or CMS manual coding instruction 2020-01-01 2020-01-01
99374 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-01-01 2022-06-30
99375 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-01-01 2022-06-30
99377 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-01-01 2022-06-30
99378 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-01-01 2022-06-30
99446 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2020-01-01 2022-06-30
99447 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2020-01-01 2022-06-30
99448 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2020-01-01 2022-06-30
99449 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2020-01-01 2022-06-30
99451 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2020-01-01 2022-06-30
99452 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2020-01-01 2022-06-30
99495 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Manual or CMS manual coding instruction 2020-01-01 2020-01-01
96523 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2020-01-01 2022-06-30
G0463 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-01-01 2022-06-30
G0471 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-01-01 2022-06-30
0213T · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
0216T · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
0228T · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2020-12-31
0230T · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2020-12-31
0551T · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2020-01-01 2021-12-31
11000 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
11001 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
11004 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
11005 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
11006 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
11042 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
11043 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
11044 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
11045 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
11046 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
11047 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12001 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12002 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12004 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12005 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12006 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12007 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12011 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12013 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12014 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12015 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12016 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12017 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12018 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12020 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12021 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12031 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12032 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12034 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12035 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12036 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12037 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12041 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12042 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
12044 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30

Column 2 Pairs 0549T is the bundled code

When 0549T is reported as the Column 2 (component) code, it is bundled into the Column 1 comprehensive code and generally not separately payable.

Medicare Facility (Hospital Outpatient) — 5 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
53451 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2022-01-01 2022-06-30
53446 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
53447 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2020-01-01 2022-06-30
53448 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2020-01-01 2022-06-30
0548T · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2020-01-01 2021-12-31
Medicare Practitioner — 4 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
53451 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2022-01-01 2022-06-30
53446 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
53447 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2020-01-01 2022-06-30
53448 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2020-01-01 2022-06-30
Medicaid Facility — 5 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
53451 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2022-01-01 2022-06-30
0548T · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2020-01-01 2021-12-31
53446 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
53447 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2020-01-01 2022-06-30
53448 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2020-01-01 2022-06-30
Medicaid Practitioner — 5 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
53451 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2022-01-01 2022-06-30
53446 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2022-06-30
53448 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2020-01-01 2022-06-30
53447 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2020-01-01 2022-06-30
0548T · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2020-01-01 2021-12-31

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