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NCCI Code Pairs — 21041

Complete listing of CMS National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edits involving HCPCS/CPT code 21041.

18 Total Edits 16 as Column 1 2 as Column 2
← View HCPCS 21041 Detail Page

Column 1 Pairs 21041 is the primary code

When 21041 is reported as the Column 1 (comprehensive) code, the paired Column 2 code is bundled and generally not separately payable.

Medicare Facility (Hospital Outpatient) — 16 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
64416 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-01-01 2003-03-31
64475 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2002-10-01 2003-03-31
37202 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2002-10-01 2003-03-31
62318 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2002-10-01 2003-03-31
62319 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2002-10-01 2003-03-31
64415 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2002-10-01 2003-03-31
64417 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2002-10-01 2003-03-31
64450 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2002-10-01 2003-03-31
64470 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2002-10-01 2003-03-31
36000 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2002-10-01 2003-03-31
36410 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2002-10-01 2003-03-31
11012 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 1998-01-01 2003-03-31
21060 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Separate procedure definition 1997-04-01 2003-03-31
21070 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Separate procedure definition 1997-04-01 2003-03-31
21050 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Separate procedure definition 1997-01-01 2003-03-31
21040 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
More extensive procedure 1996-01-01 2003-03-31

Column 2 Pairs 21041 is the bundled code

When 21041 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) — 2 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
11010 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 1998-01-01 2003-03-31
11011 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 1998-01-01 2003-03-31

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