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NCCI Code Pairs — 78496

Complete listing of CMS National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edits involving HCPCS/CPT code 78496.

133 Total Edits 79 as Column 1 54 as Column 2
← View HCPCS 78496 Detail Page

Column 1 Pairs 78496 is the primary code

When 78496 is reported as the Column 1 (comprehensive) code, the paired Column 2 code is bundled and generally not separately payable.

Medicare Facility (Hospital Outpatient) — 7 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
77790 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2014-07-01 2199-12-31
78445 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2012-10-01 2199-12-31
36005 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2007-01-01 2199-12-31
78480 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Manual or CMS manual coding instruction 2003-04-01 2003-04-01
78478 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Manual or CMS manual coding instruction 2003-04-01 2003-04-01
36410 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2002-10-01 2199-12-31
36000 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2002-10-01 2199-12-31
Medicare Practitioner — 12 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
77790 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2014-07-01 2199-12-31
78445 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2012-10-01 2199-12-31
36005 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2007-01-01 2199-12-31
78480 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Manual or CMS manual coding instruction 2003-04-01 2003-04-01
78478 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Manual or CMS manual coding instruction 2003-04-01 2003-04-01
36410 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2002-10-01 2199-12-31
36000 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2002-10-01 2199-12-31
90784 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2002-04-01 2004-12-31
90780 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2002-04-01 2004-12-31
Medicaid Facility — 28 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
77776 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2015-01-01 2015-12-31
77777 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2015-01-01 2015-12-31
77778 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2015-01-01 2199-12-31
77789 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2015-01-01 2199-12-31
78635 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
96360 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
96365 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
96372 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
77750 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2015-01-01 2199-12-31
96375 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
96376 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
77002 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 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 2015-01-01 2199-12-31
76998 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
76942 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
76377 · 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
76376 · 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
76001 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2018-12-31
76000 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
96374 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
77761 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2015-01-01 2199-12-31
77762 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2015-01-01 2199-12-31
77763 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2015-01-01 2199-12-31
77790 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2014-07-01 2199-12-31
78445 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2012-10-01 2199-12-31
36000 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
36005 · 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
36410 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
Medicaid Practitioner — 32 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
78635 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
77789 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2015-01-01 2199-12-31
77778 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2015-01-01 2199-12-31
77777 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2015-01-01 2015-12-31
77776 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2015-01-01 2015-12-31
77763 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2015-01-01 2199-12-31
76998 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
76942 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
76377 · 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
76376 · 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
76001 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2018-12-31
76000 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
J1642 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
96376 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
96375 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
96374 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
96372 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
96365 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
96360 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2199-12-31
77762 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2015-01-01 2199-12-31
77761 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2015-01-01 2199-12-31
77750 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2015-01-01 2199-12-31
77002 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 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 2015-01-01 2199-12-31
77790 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2014-07-01 2199-12-31
78445 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2012-10-01 2199-12-31
36005 · 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
36000 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 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 2199-12-31

Column 2 Pairs 78496 is the bundled code

When 78496 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) — 14 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
0541T · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2019-01-01 2199-12-31
0542T · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2019-01-01 2199-12-31
78453 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2010-01-01 2199-12-31
78452 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2010-01-01 2199-12-31
78454 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2010-01-01 2199-12-31
78451 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2010-01-01 2199-12-31
78465 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2006-04-01 2009-12-31
78461 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2006-04-01 2009-12-31
78460 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2006-04-01 2009-12-31
78464 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2006-04-01 2009-12-31
78494 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2003-04-01 2199-12-31
78483 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2003-04-01 2199-12-31
78481 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2003-04-01 2199-12-31
78473 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2003-04-01 2199-12-31
Medicare Practitioner — 12 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
78452 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2010-01-01 2199-12-31
78451 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2010-01-01 2199-12-31
78453 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2010-01-01 2199-12-31
78454 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2010-01-01 2199-12-31
78465 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2006-04-01 2009-12-31
78464 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2006-04-01 2009-12-31
78461 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2006-04-01 2009-12-31
78460 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2006-04-01 2009-12-31
78481 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2003-04-01 2199-12-31
78473 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2003-04-01 2199-12-31
78483 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2003-04-01 2199-12-31
78494 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2003-04-01 2199-12-31
Medicaid Facility — 14 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
0542T · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2019-01-01 2199-12-31
0541T · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2019-01-01 2199-12-31
79101 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2015-07-01 2199-12-31
77786 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2015-07-01 2015-12-31
77785 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2015-07-01 2015-12-31
77787 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2015-07-01 2015-12-31
78483 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2010-10-01 2199-12-31
78451 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2010-10-01 2199-12-31
78452 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2010-10-01 2199-12-31
78453 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2010-10-01 2199-12-31
78454 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2010-10-01 2199-12-31
78473 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2010-10-01 2199-12-31
78481 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2010-10-01 2199-12-31
78494 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2010-10-01 2199-12-31
Medicaid Practitioner — 14 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
0542T · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2019-01-01 2199-12-31
0541T · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2019-01-01 2199-12-31
77787 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2015-07-01 2015-12-31
77786 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2015-07-01 2015-12-31
79101 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2015-07-01 2199-12-31
77785 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2015-07-01 2015-12-31
78453 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2010-10-01 2199-12-31
78454 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2010-10-01 2199-12-31
78473 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2010-10-01 2199-12-31
78451 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2010-10-01 2199-12-31
78494 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2010-10-01 2199-12-31
78483 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2010-10-01 2199-12-31
78481 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2010-10-01 2199-12-31
78452 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2010-10-01 2199-12-31

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