NCCI Code Pairs — 56303

Complete listing of CMS National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edits involving HCPCS/CPT code 56303.

16 Total Edits 12 as Column 1 4 as Column 2

Column 1 Pairs 56303 is the primary code

When 56303 is reported as the Column 1 (comprehensive) code, the paired Column 2 code is bundled and generally not separately payable.

Medicare Facility (Hospital Outpatient) — 6 pairs

Paired Code	Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A	Rationale	Effective	End Date
56310 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	CPT Separate procedure definition	1999-01-01	2000-06-30
56361 · CCI	1 Modifier allowed — a NCCI-associated modifier may permit separate reporting	Standards of medical/surgical practice	1996-01-01	1997-03-31
57410 · CCI	1 Modifier allowed — a NCCI-associated modifier may permit separate reporting	Standards of medical/surgical practice	1996-01-01	2000-06-30
56300 · CCI	1 Modifier allowed — a NCCI-associated modifier may permit separate reporting	Standards of medical/surgical practice	1996-01-01	2000-06-30
56350 · CCI	9 Not applicable — edit has been deleted or is no longer active	Standards of medical/surgical practice	1996-01-01	1996-01-01
56360 · CCI	1 Modifier allowed — a NCCI-associated modifier may permit separate reporting	Standards of medical/surgical practice	1996-01-01	1997-03-31

Medicare Practitioner — 6 pairs

Paired Code	Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A	Rationale	Effective	End Date
56310 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	CPT Separate procedure definition	1999-01-01	2000-06-30
56360 · CCI	1 Modifier allowed — a NCCI-associated modifier may permit separate reporting	Standards of medical/surgical practice	1996-01-01	1997-03-31
56361 · CCI	1 Modifier allowed — a NCCI-associated modifier may permit separate reporting	Standards of medical/surgical practice	1996-01-01	1997-03-31
57410 · CCI	1 Modifier allowed — a NCCI-associated modifier may permit separate reporting	Standards of medical/surgical practice	1996-01-01	2000-06-30
56300 · CCI	1 Modifier allowed — a NCCI-associated modifier may permit separate reporting	Standards of medical/surgical practice	1996-01-01	2000-06-30
56350 · CCI	9 Not applicable — edit has been deleted or is no longer active	Standards of medical/surgical practice	1996-01-01	1996-01-01

When 56303 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
56307 · CCI	1 Modifier allowed — a NCCI-associated modifier may permit separate reporting	More extensive procedure	1997-01-01	2000-06-30
56308 · CCI	1 Modifier allowed — a NCCI-associated modifier may permit separate reporting	More extensive procedure	1997-01-01	2000-06-30

Medicare Practitioner — 2 pairs

Paired Code	Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A	Rationale	Effective	End Date
56308 · CCI	1 Modifier allowed — a NCCI-associated modifier may permit separate reporting	More extensive procedure	1997-01-01	2000-06-30
56307 · CCI	1 Modifier allowed — a NCCI-associated modifier may permit separate reporting	More extensive procedure	1997-01-01	2000-06-30

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