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NCCI Code Pairs — 49905

Complete listing of CMS National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edits involving HCPCS/CPT code 49905.

102 Total Edits 90 as Column 1 12 as Column 2
← View HCPCS 49905 Detail Page

Column 1 Pairs 49905 is the primary code

When 49905 is reported as the Column 1 (comprehensive) code, the paired Column 2 code is bundled and generally not separately payable.

Medicare Facility (Hospital Outpatient) — 24 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
44604 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
44605 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
44603 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
49320 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Separate procedure definition 2010-10-01 2199-12-31
44602 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
44180 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Separate procedure definition 2006-01-01 2199-12-31
44005 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Separate procedure definition 2004-07-01 2199-12-31
49570 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Separate procedure definition 2004-07-01 2022-12-31
49400 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Separate procedure definition 2004-07-01 2199-12-31
49000 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Separate procedure definition 2004-07-01 2199-12-31
44850 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Separate procedure definition 2004-07-01 2199-12-31
44200 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Separate procedure definition 2004-07-01 2005-12-31
49255 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Separate procedure definition 2004-07-01 2199-12-31
49010 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Separate procedure definition 2004-07-01 2199-12-31
49002 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2004-07-01 2004-12-31
44820 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Separate procedure definition 2004-07-01 2199-12-31
43752 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2004-01-01 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 2003-01-01 2199-12-31
G0272 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-01-01 2004-03-31
49906 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Mutually exclusive procedures 1998-01-01 2199-12-31
49010 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Separate procedure definition 1997-01-01 1997-01-01
49000 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Separate procedure definition 1997-01-01 1997-01-01
49570 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Separate procedure definition 1997-01-01 1997-01-01
44850 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Separate procedure definition 1997-01-01 1997-01-01
Medicare Practitioner — 27 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
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
44602 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
49320 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Separate procedure definition 2010-10-01 2199-12-31
44605 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
44604 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
44603 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
44180 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Separate procedure definition 2006-01-01 2199-12-31
49000 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Separate procedure definition 2004-07-01 2199-12-31
44850 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Separate procedure definition 2004-07-01 2199-12-31
49002 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2004-07-01 2004-12-31
49010 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Separate procedure definition 2004-07-01 2199-12-31
49255 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Separate procedure definition 2004-07-01 2199-12-31
49400 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Separate procedure definition 2004-07-01 2199-12-31
49570 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Separate procedure definition 2004-07-01 2022-12-31
44005 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Separate procedure definition 2004-07-01 2199-12-31
44200 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Separate procedure definition 2004-07-01 2005-12-31
44820 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Separate procedure definition 2004-07-01 2199-12-31
43752 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2004-01-01 2199-12-31
G0272 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-01-01 2004-03-31
69990 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2003-01-01 2199-12-31
49906 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Mutually exclusive procedures 1998-01-01 2199-12-31
49570 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Separate procedure definition 1997-01-01 1997-01-01
49010 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Separate procedure definition 1997-01-01 1997-01-01
44850 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Separate procedure definition 1997-01-01 1997-01-01
49000 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Separate procedure definition 1997-01-01 1997-01-01
Medicaid Facility — 19 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
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
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
69990 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2011-10-01 2199-12-31
44602 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2011-01-01 2199-12-31
49320 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Separate procedure definition 2011-01-01 2199-12-31
44605 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2011-01-01 2199-12-31
44604 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2011-01-01 2199-12-31
44603 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2011-01-01 2199-12-31
49255 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Separate procedure definition 2010-10-01 2199-12-31
43752 · 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
44005 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Separate procedure definition 2010-10-01 2199-12-31
44180 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Separate procedure definition 2010-10-01 2199-12-31
44820 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Separate procedure definition 2010-10-01 2199-12-31
44850 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Separate procedure definition 2010-10-01 2199-12-31
49000 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Separate procedure definition 2010-10-01 2199-12-31
49010 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Separate procedure definition 2010-10-01 2199-12-31
49400 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Separate procedure definition 2010-10-01 2199-12-31
49570 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Separate procedure definition 2010-10-01 2022-12-31
49906 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Mutually exclusive procedures 2010-10-01 2199-12-31
Medicaid Practitioner — 20 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
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
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
69990 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2011-10-01 2199-12-31
44603 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2011-01-01 2199-12-31
44602 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2011-01-01 2199-12-31
44604 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2011-01-01 2199-12-31
44605 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2011-01-01 2199-12-31
49320 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Separate procedure definition 2011-01-01 2199-12-31
44820 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Separate procedure definition 2010-10-01 2199-12-31
44180 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Separate procedure definition 2010-10-01 2199-12-31
44005 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Separate procedure definition 2010-10-01 2199-12-31
43752 · 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
49570 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Separate procedure definition 2010-10-01 2022-12-31
49906 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Mutually exclusive procedures 2010-10-01 2199-12-31
49400 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Separate procedure definition 2010-10-01 2199-12-31
49255 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Separate procedure definition 2010-10-01 2199-12-31
49010 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Separate procedure definition 2010-10-01 2199-12-31
49000 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Separate procedure definition 2010-10-01 2199-12-31
44850 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Separate procedure definition 2010-10-01 2199-12-31

Column 2 Pairs 49905 is the bundled code

When 49905 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
44700 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2016-07-01 2199-12-31
49904 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Mutually exclusive procedures 2004-07-01 2199-12-31
47700 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2003-01-01 2199-12-31
Medicare Practitioner — 3 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
44700 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2016-07-01 2199-12-31
49904 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Mutually exclusive procedures 2004-07-01 2199-12-31
47700 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2003-01-01 2199-12-31
Medicaid Facility — 3 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
44700 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2016-07-01 2199-12-31
47700 · 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
49904 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Mutually exclusive procedures 2010-10-01 2199-12-31
Medicaid Practitioner — 3 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
44700 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2016-07-01 2199-12-31
49904 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Mutually exclusive procedures 2010-10-01 2199-12-31
47700 · 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

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