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NCCI Code Pairs — 36100

Complete listing of CMS National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edits involving HCPCS/CPT code 36100.

271 Total Edits 127 as Column 1 144 as Column 2
← View HCPCS 36100 Detail Page

Column 1 Pairs 36100 is the primary code

When 36100 is reported as the Column 1 (comprehensive) code, the paired Column 2 code is bundled and generally not separately payable.

Medicare Facility (Hospital Outpatient) — 46 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
35231 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2014-07-01 2199-12-31
35236 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2014-07-01 2199-12-31
35256 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2014-07-01 2199-12-31
76000 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2011-01-01 2199-12-31
77001 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2011-01-01 2199-12-31
76001 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2011-01-01 2018-12-31
0213T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-07-01 2011-09-30
0216T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-07-01 2011-09-30
64493 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-01-01 2011-09-30
64490 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-01-01 2011-09-30
96376 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-07-01 2011-09-30
96365 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2011-09-30
96374 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2011-09-30
96360 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2011-09-30
77002 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2009-01-01 2199-12-31
96375 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2011-09-30
96372 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2011-09-30
C8952 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2006-12-31
90760 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2008-12-31
C8950 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2006-12-31
90772 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2008-12-31
90774 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2008-12-31
90775 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2008-12-31
90765 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2008-12-31
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 2011-09-30
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 2009-12-31
36000 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2002-10-01 2011-09-30
36410 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2002-10-01 2011-09-30
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 2011-09-30
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 2011-09-30
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 2011-09-30
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 2011-09-30
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 2011-09-30
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 2009-12-31
76393 · CCI
9 Not applicable — edit has been deleted or is no longer active
Misuse of Column Two code with Column One code 2002-04-01 2002-04-01
36002 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2002-04-01 2199-12-31
76360 · CCI
9 Not applicable — edit has been deleted or is no longer active
Misuse of Column Two code with Column One code 2002-04-01 2002-04-01
76942 · CCI
9 Not applicable — edit has been deleted or is no longer active
Misuse of Column Two code with Column One code 2000-09-05 2000-09-05
69990 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2000-07-01 2199-12-31
35201 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1999-07-01 2199-12-31
35226 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1999-07-01 2199-12-31
35261 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1999-07-01 2199-12-31
35286 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1999-07-01 2199-12-31
35266 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1999-07-01 2199-12-31
35206 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1999-07-01 2199-12-31
64508 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Separate procedure definition 1997-04-01 2011-09-30
Medicaid Facility — 36 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
36591 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-10-01 2199-12-31
36592 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2015-10-01 2199-12-31
35256 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2014-07-01 2199-12-31
35236 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2014-07-01 2199-12-31
35231 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2014-07-01 2199-12-31
69990 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2011-10-01 2199-12-31
76000 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2011-01-01 2199-12-31
76001 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2011-01-01 2018-12-31
77001 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2011-01-01 2199-12-31
35226 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 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 2010-10-01 2011-09-30
0216T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2011-09-30
35201 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
35206 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
35261 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
35266 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
35286 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
36000 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2011-09-30
36002 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2010-10-01 2199-12-31
36410 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2011-09-30
62318 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2011-09-30
62319 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2011-09-30
64415 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2011-09-30
64416 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2011-09-30
64417 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2011-09-30
64450 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2011-09-30
64490 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2011-09-30
64493 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2011-09-30
64508 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Separate procedure definition 2010-10-01 2011-09-30
77002 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2199-12-31
96360 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2011-09-30
96365 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2011-09-30
96372 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2011-09-30
96374 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2011-09-30
96375 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2011-09-30
96376 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2011-09-30
Medicaid Practitioner — 45 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
96523 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2019-04-01 2199-12-31
J1642 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2017-07-01 2199-12-31
36591 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2015-10-01 2199-12-31
36592 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2015-10-01 2199-12-31
35236 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2014-07-01 2199-12-31
35256 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2014-07-01 2199-12-31
35231 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2014-07-01 2199-12-31
69990 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2011-10-01 2199-12-31
76001 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2011-01-01 2018-12-31
77001 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2011-01-01 2199-12-31
76000 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2011-01-01 2199-12-31
J1644 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 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 2010-10-01 2199-12-31
96376 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2011-09-30
96375 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2011-09-30
96374 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2011-09-30
96372 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2011-09-30
96365 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2011-09-30
96360 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2011-09-30
77002 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2199-12-31
64508 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Separate procedure definition 2010-10-01 2011-09-30
35206 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 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 2010-10-01 2011-09-30
64493 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2011-09-30
64450 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2011-09-30
64417 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2011-09-30
64416 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2011-09-30
64415 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2011-09-30
62319 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2011-09-30
62318 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2011-09-30
36410 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2011-09-30
36002 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2010-10-01 2199-12-31
35201 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
0216T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2011-09-30
36000 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2011-09-30
35286 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
35266 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 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 2010-10-01 2011-09-30
01926 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2010-10-01 2199-12-31
01925 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2010-10-01 2199-12-31
01924 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2010-10-01 2199-12-31
35261 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
01916 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Anesthesia service included in surgical procedure 2010-10-01 2199-12-31
35226 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 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 2010-10-01 2024-09-30

Column 2 Pairs 36100 is the bundled code

When 36100 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) — 46 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
C9797 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2025-10-01 2199-12-31
0644T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2022-01-01 2199-12-31
0643T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2022-01-01 2199-12-31
0544T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-01-01 2199-12-31
C9754 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2019-07-01 2020-06-30
C9755 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2019-07-01 2020-06-30
0515T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2019-01-01 2199-12-31
0516T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2019-01-01 2199-12-31
0520T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2019-01-01 2199-12-31
0483T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2018-01-01 2199-12-31
0484T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2018-01-01 2199-12-31
61651 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
More extensive procedure 2016-01-01 2199-12-31
61650 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
More extensive procedure 2016-01-01 2199-12-31
37218 · 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
33418 · 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
33419 · 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
0345T · 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
37242 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2014-10-01 2199-12-31
37244 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2014-10-01 2199-12-31
37243 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2014-10-01 2199-12-31
37217 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2014-01-01 2199-12-31
36224 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2013-01-01 2199-12-31
36222 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2013-01-01 2199-12-31
36223 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2013-01-01 2199-12-31
36226 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2013-01-01 2199-12-31
36225 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2013-01-01 2199-12-31
36221 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2013-01-01 2199-12-31
61635 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2009-04-01 2199-12-31
61630 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2009-04-01 2199-12-31
37215 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2005-01-01 2199-12-31
37216 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2005-01-01 2005-03-31
0075T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2005-01-01 2199-12-31
61623 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2003-01-01 2199-12-31
37202 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
More extensive procedure 1998-01-01 2015-12-31
36217 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-04-01 2199-12-31
36216 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-04-01 2199-12-31
36215 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-04-01 2199-12-31
34051 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-01-01 2199-12-31
35022 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-01-01 2199-12-31
35021 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-01-01 2199-12-31
35005 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-01-01 2199-12-31
35002 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-01-01 2199-12-31
35001 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-01-01 2199-12-31
34001 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-01-01 2199-12-31
35470 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-01-01 2001-12-31
35301 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1996-01-01 2199-12-31
Medicare Practitioner — 8 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
C9797 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2025-10-01 2199-12-31
C9754 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2019-07-01 2020-06-30
C9755 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2019-07-01 2020-06-30
61651 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
More extensive procedure 2016-01-01 2199-12-31
61650 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
More extensive procedure 2016-01-01 2199-12-31
61635 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2009-04-01 2199-12-31
61630 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2009-04-01 2199-12-31
61623 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2003-01-01 2199-12-31
Medicaid Facility — 45 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
C9797 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2025-10-01 2199-12-31
0643T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2022-01-01 2199-12-31
0644T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2022-01-01 2199-12-31
0544T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-01-01 2199-12-31
C9754 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2019-07-01 2020-06-30
C9755 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2019-07-01 2020-06-30
0515T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2019-01-01 2199-12-31
0520T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2019-01-01 2199-12-31
0516T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2019-01-01 2199-12-31
0483T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2018-01-01 2199-12-31
0484T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2018-01-01 2199-12-31
61651 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
More extensive procedure 2016-01-01 2199-12-31
61650 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
More extensive procedure 2016-01-01 2199-12-31
37218 · 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
0076T · 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
0345T · 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
33419 · 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
33418 · 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
37242 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2014-10-01 2199-12-31
37243 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2014-10-01 2199-12-31
37244 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2014-10-01 2199-12-31
37217 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2014-01-01 2199-12-31
36222 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2013-01-01 2199-12-31
36224 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2013-01-01 2199-12-31
36225 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2013-01-01 2199-12-31
36226 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2013-01-01 2199-12-31
36221 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2013-01-01 2199-12-31
36223 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2013-01-01 2199-12-31
0075T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2010-10-01 2199-12-31
34001 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
34051 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
35001 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
35002 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
35005 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
35021 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
35022 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
35301 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
36215 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
36216 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
36217 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
37202 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
More extensive procedure 2010-10-01 2015-12-31
37215 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2010-10-01 2199-12-31
61623 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2010-10-01 2199-12-31
61630 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2010-10-01 2199-12-31
61635 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2010-10-01 2199-12-31
Medicaid Practitioner — 45 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
C9797 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2025-10-01 2199-12-31
0643T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2022-01-01 2199-12-31
0644T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2022-01-01 2199-12-31
0544T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-01-01 2199-12-31
C9754 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2019-07-01 2020-06-30
C9755 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2019-07-01 2020-06-30
0515T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2019-01-01 2199-12-31
0520T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2019-01-01 2199-12-31
0516T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2019-01-01 2199-12-31
0483T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2018-01-01 2199-12-31
0484T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2018-01-01 2199-12-31
61650 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
More extensive procedure 2016-01-01 2199-12-31
61651 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
More extensive procedure 2016-01-01 2199-12-31
33419 · 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
37218 · 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
0345T · 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
33418 · 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
0076T · 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
37244 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2014-10-01 2199-12-31
37243 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2014-10-01 2199-12-31
37242 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2014-10-01 2199-12-31
37217 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2014-01-01 2199-12-31
36223 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2013-01-01 2199-12-31
36221 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2013-01-01 2199-12-31
36224 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2013-01-01 2199-12-31
36225 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2013-01-01 2199-12-31
36226 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2013-01-01 2199-12-31
36222 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2013-01-01 2199-12-31
35001 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
34051 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
34001 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
0075T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2010-10-01 2199-12-31
35301 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
35022 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
35021 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
35005 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
35002 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
61635 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2010-10-01 2199-12-31
61630 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2010-10-01 2199-12-31
61623 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2010-10-01 2199-12-31
37215 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2010-10-01 2199-12-31
37202 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
More extensive procedure 2010-10-01 2015-12-31
36217 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
36216 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
36215 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31

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