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NCCI Code Pairs — 11922

Complete listing of CMS National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edits involving HCPCS/CPT code 11922.

577 Total Edits 404 as Column 1 173 as Column 2
← View HCPCS 11922 Detail Page

Column 1 Pairs 11922 is the primary code

When 11922 is reported as the Column 1 (comprehensive) code, the paired Column 2 code is bundled and generally not separately payable.

Medicaid Facility — 151 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
99496 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2199-12-31
99495 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2199-12-31
0214T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-10-01 2199-12-31
0215T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-10-01 2199-12-31
0217T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-10-01 2199-12-31
0218T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-10-01 2199-12-31
0229T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2020-12-31
0231T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2020-12-31
36591 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-10-01 2199-12-31
36592 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-10-01 2199-12-31
64484 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-07-01 2199-12-31
64480 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-07-01 2199-12-31
64491 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-07-01 2199-12-31
64492 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-07-01 2199-12-31
64495 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-07-01 2199-12-31
64494 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-07-01 2199-12-31
12013 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
12014 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
12015 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
12016 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
12017 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
12018 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
12020 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
12021 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
12031 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
12032 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
12034 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
12035 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
12036 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
12037 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
12041 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
12042 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
12044 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
12045 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
12046 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
12047 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
12051 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
12052 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
12053 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
12054 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
12055 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
12056 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
12057 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
13100 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
13101 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
13102 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
13120 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
13121 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
13122 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
13131 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
13132 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
13133 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
13151 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
13152 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
13153 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
36000 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
12002 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
36405 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
36406 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
36410 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
36420 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
36425 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
36430 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
36440 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
99496 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-01-01 2019-12-31
36600 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
36640 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
37202 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2015-12-31
43752 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
51701 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
51702 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
51703 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
62310 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2016-12-31
62311 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2016-12-31
62318 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2016-12-31
62319 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2016-12-31
64400 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
64402 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2019-12-31
64405 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
64408 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
64410 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2019-12-31
64412 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2015-12-31
64413 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2019-12-31
64415 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
64416 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
64417 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
64418 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
64420 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
64421 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
64425 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
64430 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
64435 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
64445 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
64446 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
64447 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
64448 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
64449 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
64450 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
64479 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
64483 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
64490 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
64493 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
36400 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
12004 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
12005 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
12006 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
12007 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
12011 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
64505 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
64508 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2018-12-31
64510 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
64517 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
64520 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
64530 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
69990 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
93000 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
93005 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
93010 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
93040 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
93041 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
93042 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
93318 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
94002 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
94200 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
94250 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2020-12-31
94680 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
94681 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
94690 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
94770 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2020-12-31
95812 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
95813 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
95816 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
95819 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
95822 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
95829 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
95955 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
96360 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
96365 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
96372 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
96374 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
96375 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
96376 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
0213T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
99148 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2016-12-31
99149 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2016-12-31
0216T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
99150 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2016-12-31
0228T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2020-12-31
99495 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-01-01 2019-12-31
0230T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2020-12-31
12001 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
Medicaid Practitioner — 253 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
99347 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2199-12-31
99337 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2022-12-31
99336 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2022-12-31
99335 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2022-12-31
99334 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2022-12-31
99316 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2199-12-31
99315 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2199-12-31
99310 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2199-12-31
99309 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2199-12-31
99308 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2199-12-31
99307 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2199-12-31
99306 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2199-12-31
99305 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2199-12-31
99304 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2199-12-31
99292 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2199-12-31
99291 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2199-12-31
99239 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2199-12-31
99238 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2199-12-31
99236 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2199-12-31
99235 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2199-12-31
99234 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2199-12-31
99233 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2199-12-31
99232 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2199-12-31
99231 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2199-12-31
99223 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2199-12-31
99222 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2199-12-31
99221 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2199-12-31
99220 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2022-12-31
99219 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2022-12-31
99218 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2022-12-31
99217 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2022-12-31
99215 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2199-12-31
99214 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2199-12-31
99213 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2199-12-31
99212 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2199-12-31
99211 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2199-12-31
99496 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2199-12-31
99350 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2199-12-31
99349 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2199-12-31
99495 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2199-12-31
99348 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2199-12-31
96523 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2019-04-01 2199-12-31
0214T · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2015-10-01 2199-12-31
0215T · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2015-10-01 2199-12-31
0217T · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2015-10-01 2199-12-31
0218T · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2015-10-01 2199-12-31
0229T · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2020-12-31
0231T · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2020-12-31
36591 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2015-10-01 2199-12-31
36592 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2015-10-01 2199-12-31
64480 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-07-01 2199-12-31
64491 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2015-07-01 2199-12-31
64492 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2015-07-01 2199-12-31
64484 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-07-01 2199-12-31
64494 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2015-07-01 2199-12-31
64495 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2015-07-01 2199-12-31
36400 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
36405 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
36406 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
36410 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
36420 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
36425 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
36430 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
36440 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
J0670 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
J2001 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2024-09-30
36600 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
36640 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
37202 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2015-12-31
43752 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
51701 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
51702 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
51703 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
62310 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-01-01 2016-12-31
62311 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-01-01 2016-12-31
62318 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2015-01-01 2016-12-31
62319 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2015-01-01 2016-12-31
64400 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-01-01 2199-12-31
64402 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-01-01 2019-12-31
64405 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-01-01 2199-12-31
64408 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-01-01 2199-12-31
64410 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-01-01 2019-12-31
64412 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-01-01 2015-12-31
64413 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-01-01 2019-12-31
64415 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
64416 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
64417 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
64418 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-01-01 2199-12-31
64420 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-01-01 2199-12-31
64421 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-01-01 2199-12-31
64425 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-01-01 2199-12-31
64430 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-01-01 2199-12-31
64435 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-01-01 2199-12-31
64445 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-01-01 2199-12-31
64446 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-01-01 2199-12-31
64447 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-01-01 2199-12-31
64448 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-01-01 2199-12-31
64449 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-01-01 2199-12-31
64450 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
64479 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-01-01 2199-12-31
64483 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-01-01 2199-12-31
64490 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
64493 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
64505 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-01-01 2199-12-31
64508 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-01-01 2018-12-31
64510 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-01-01 2199-12-31
64517 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-01-01 2199-12-31
64520 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-01-01 2199-12-31
64530 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-01-01 2199-12-31
69990 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
92012 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-01-01 2199-12-31
92014 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-01-01 2199-12-31
93000 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
93005 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
93010 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
93040 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
93041 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
93042 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
93318 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
94002 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
94200 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
94250 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2020-12-31
94680 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
94681 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
94690 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
94770 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2020-12-31
95812 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
95813 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
95816 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
95819 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
95822 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
95829 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
95955 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
96360 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
96365 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
96372 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
96374 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
96375 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
96376 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
13120 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
99148 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2015-01-01 2016-12-31
99149 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2015-01-01 2016-12-31
99150 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2015-01-01 2016-12-31
13102 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
99211 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-01-01 2019-12-31
13101 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
99212 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-01-01 2019-12-31
13100 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
99213 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-01-01 2019-12-31
12057 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
99214 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-01-01 2019-12-31
12056 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
99215 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-01-01 2019-12-31
12055 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
99217 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-01-01 2019-12-31
12054 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
99218 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-01-01 2019-12-31
12053 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
99219 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-01-01 2019-12-31
12052 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
99220 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-01-01 2019-12-31
12051 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
99221 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-01-01 2019-12-31
12047 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
99222 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-01-01 2019-12-31
12046 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
99223 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-01-01 2019-12-31
12045 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
99231 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-01-01 2019-12-31
12044 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
99232 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-01-01 2019-12-31
12042 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
99233 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-01-01 2019-12-31
12041 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
99234 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-01-01 2019-12-31
12037 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
99235 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-01-01 2019-12-31
12036 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
99236 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-01-01 2019-12-31
12035 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
99238 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-01-01 2019-12-31
12034 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
99239 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-01-01 2019-12-31
99241 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-01-01 2022-12-31
99242 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-01-01 2199-12-31
99243 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-01-01 2199-12-31
99244 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-01-01 2199-12-31
99245 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-01-01 2199-12-31
99251 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-01-01 2022-12-31
99252 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-01-01 2199-12-31
99253 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-01-01 2199-12-31
99254 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-01-01 2199-12-31
99255 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-01-01 2199-12-31
12032 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
99291 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-01-01 2019-12-31
12031 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
99292 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-01-01 2019-12-31
12021 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
99304 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-01-01 2019-12-31
12020 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
99305 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-01-01 2019-12-31
12018 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
99306 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-01-01 2019-12-31
12017 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
99307 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-01-01 2019-12-31
12016 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
99308 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-01-01 2019-12-31
12015 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
99309 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-01-01 2019-12-31
12014 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
99310 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-01-01 2019-12-31
12013 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
99315 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-01-01 2019-12-31
12011 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
99316 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-01-01 2019-12-31
12007 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
99334 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-01-01 2019-12-31
12006 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
99335 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-01-01 2019-12-31
12005 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
99336 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-01-01 2019-12-31
12004 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
99337 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-01-01 2019-12-31
12002 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
99347 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-01-01 2019-12-31
12001 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
99348 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-01-01 2019-12-31
0230T · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-01-01 2020-12-31
99349 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-01-01 2019-12-31
0228T · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-01-01 2020-12-31
99350 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-01-01 2019-12-31
99374 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-01-01 2199-12-31
99375 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-01-01 2199-12-31
99377 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-01-01 2199-12-31
99378 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-01-01 2199-12-31
99446 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2015-01-01 2199-12-31
99447 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2015-01-01 2199-12-31
99448 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2015-01-01 2199-12-31
99449 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2015-01-01 2199-12-31
0216T · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
99495 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-01-01 2019-12-31
0213T · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
99496 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-01-01 2019-12-31
G0463 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-01-01 2199-12-31
13121 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
13122 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
13132 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
13131 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
13133 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
13151 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
13152 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
13153 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
36000 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31

Column 2 Pairs 11922 is the bundled code

When 11922 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) — 1 pair
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
19350 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2021-01-01 2199-12-31
Medicaid Facility — 86 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
77427 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
77523 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2199-12-31
77525 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2199-12-31
77600 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2199-12-31
77605 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2199-12-31
77610 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2199-12-31
77615 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2199-12-31
77620 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2199-12-31
77750 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2199-12-31
77761 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2199-12-31
77762 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2199-12-31
77763 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2199-12-31
77776 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2015-12-31
77777 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2015-12-31
77778 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2199-12-31
77785 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2015-12-31
77786 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2015-12-31
77787 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2015-12-31
77789 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2199-12-31
77790 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2199-12-31
G0339 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2199-12-31
G0340 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2199-12-31
G0458 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2199-12-31
G6002 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2025-12-31
G6003 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2025-12-31
G6004 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2025-12-31
G6005 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2025-12-31
G6006 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2025-12-31
G6007 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2025-12-31
G6008 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2025-12-31
G6009 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2025-12-31
G6010 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2025-12-31
G6011 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2025-12-31
G6012 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2025-12-31
G6013 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2025-12-31
G6014 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2025-12-31
G6015 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2025-12-31
G6016 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2025-12-31
G6017 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2025-12-31
77469 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2199-12-31
77470 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2199-12-31
77520 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2199-12-31
77522 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2199-12-31
19350 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-10-01 2199-12-31
77261 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2199-12-31
77262 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2199-12-31
77263 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2199-12-31
77280 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2199-12-31
77285 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2199-12-31
77290 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2199-12-31
77293 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-10-01 2199-12-31
77295 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2199-12-31
77300 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2199-12-31
77301 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2199-12-31
77306 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2199-12-31
77307 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2199-12-31
77316 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2199-12-31
77317 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2199-12-31
77318 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2199-12-31
77321 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2199-12-31
77331 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2199-12-31
77332 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2199-12-31
77333 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2199-12-31
77334 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2199-12-31
77336 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2199-12-31
77338 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2199-12-31
77370 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2199-12-31
77371 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2199-12-31
77372 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2199-12-31
77373 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2199-12-31
77385 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2025-12-31
77386 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2025-12-31
77387 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2199-12-31
77401 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2025-12-31
77402 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2199-12-31
77407 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2199-12-31
77412 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2199-12-31
77417 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2199-12-31
77422 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2017-12-31
77423 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2199-12-31
77424 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2199-12-31
77425 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2199-12-31
77427 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2019-12-31
77431 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2199-12-31
77432 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2199-12-31
77435 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2199-12-31
Medicaid Practitioner — 86 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
77427 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
G6005 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2025-12-31
77262 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2199-12-31
77263 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2199-12-31
77280 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2199-12-31
77285 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2199-12-31
77290 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2199-12-31
77293 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2015-10-01 2199-12-31
77295 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2199-12-31
77300 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2199-12-31
77301 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2199-12-31
77306 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2199-12-31
77307 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2199-12-31
77316 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2199-12-31
77317 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2199-12-31
77318 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2199-12-31
77321 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2199-12-31
77331 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2199-12-31
77332 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2199-12-31
77333 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2199-12-31
77334 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2199-12-31
77336 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2199-12-31
77338 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2199-12-31
77370 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2199-12-31
77371 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2199-12-31
77372 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2199-12-31
77373 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2199-12-31
77385 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2025-12-31
77386 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2025-12-31
77387 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2199-12-31
77401 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2025-12-31
77402 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2199-12-31
77407 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2199-12-31
77412 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2199-12-31
77417 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2199-12-31
77422 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2017-12-31
77423 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2199-12-31
77424 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2199-12-31
77425 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2199-12-31
77427 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2019-12-31
77431 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2199-12-31
77432 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2199-12-31
77435 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2199-12-31
77469 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2199-12-31
77470 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2199-12-31
77520 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2199-12-31
77522 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2199-12-31
77523 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2199-12-31
77525 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2199-12-31
77600 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2199-12-31
77605 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2199-12-31
77610 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2199-12-31
77615 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2199-12-31
77620 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2199-12-31
77750 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2199-12-31
77761 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2199-12-31
77762 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2199-12-31
77763 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2199-12-31
77776 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2015-12-31
77777 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2015-12-31
77778 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2199-12-31
77785 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2015-12-31
77786 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2015-12-31
77787 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2015-12-31
77789 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2199-12-31
77790 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2199-12-31
G0339 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2199-12-31
G0340 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2199-12-31
G0458 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2199-12-31
G6002 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2025-12-31
G6003 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2025-12-31
G6004 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2025-12-31
77261 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2199-12-31
G6006 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2025-12-31
G6007 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2025-12-31
G6008 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2025-12-31
G6009 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2025-12-31
G6010 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2025-12-31
G6011 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2025-12-31
G6012 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2025-12-31
G6013 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2025-12-31
G6014 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2025-12-31
G6015 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2015-10-01 2025-12-31
G6016 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2025-12-31
G6017 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-10-01 2025-12-31
19350 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-10-01 2199-12-31

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