NCCI Code Pairs — 26597

Complete listing of CMS National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edits involving HCPCS/CPT code 26597.

6 Total Edits 3 as Column 1 3 as Column 2

Column 1 Pairs 26597 is the primary code

When 26597 is reported as the Column 1 (comprehensive) code, the paired Column 2 code is bundled and generally not separately payable.

Medicare Facility (Hospital Outpatient) — 3 pairs

Paired Code	Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A	Rationale	Effective	End Date
69990 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	Misuse of Column Two code with Column One code	2000-07-01	2002-03-31
26185 · CCI	1 Modifier allowed — a NCCI-associated modifier may permit separate reporting	CPT Separate procedure definition	1998-01-01	2002-03-31
20550 · CCI	1 Modifier allowed — a NCCI-associated modifier may permit separate reporting	Misuse of Column Two code with Column One code	1997-04-01	2002-03-31

When 26597 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) — 3 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	2002-03-31
11011 · CCI	1 Modifier allowed — a NCCI-associated modifier may permit separate reporting	Mutually exclusive procedures	1998-01-01	2002-03-31
11012 · CCI	1 Modifier allowed — a NCCI-associated modifier may permit separate reporting	Mutually exclusive procedures	1998-01-01	2002-03-31

Bedrock Billing validates CCI code pairs, modifier requirements, and bundling logic automatically.