NCCI Code Pairs — 80051
Complete listing of CMS National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edits involving HCPCS/CPT code 80051.
38 Total Edits
18 as Column 1
20 as Column 2
← View HCPCS 80051 Detail Page
Column 1 Pairs 80051 is the primary code
When 80051 is reported as the Column 1 (comprehensive) code, the paired Column 2 code is bundled and generally not separately payable.
Medicare Facility (Hospital Outpatient) — 4 pairs
| Paired Code |
Mod
Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
|
Rationale | Effective | End Date |
|---|---|---|---|---|
| 84132 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Laboratory panel | 1998-01-01 | 2199-12-31 |
| 84295 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Laboratory panel | 1998-01-01 | 2199-12-31 |
| 82435 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Laboratory panel | 1998-01-01 | 2199-12-31 |
| 82374 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Laboratory panel | 1998-01-01 | 2199-12-31 |
Medicare Practitioner — 5 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 |
| 84132 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Laboratory panel | 1998-01-01 | 2199-12-31 |
| 84295 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Laboratory panel | 1998-01-01 | 2199-12-31 |
| 82374 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Laboratory panel | 1998-01-01 | 2199-12-31 |
| 82435 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Laboratory panel | 1998-01-01 | 2199-12-31 |
Medicaid Facility — 4 pairs
| Paired Code |
Mod
Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
|
Rationale | Effective | End Date |
|---|---|---|---|---|
| 84132 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Laboratory panel | 2010-10-01 | 2199-12-31 |
| 84295 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Laboratory panel | 2010-10-01 | 2199-12-31 |
| 82374 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Laboratory panel | 2010-10-01 | 2199-12-31 |
| 82435 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Laboratory panel | 2010-10-01 | 2199-12-31 |
Medicaid Practitioner — 5 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 |
| 84295 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Laboratory panel | 2010-10-01 | 2199-12-31 |
| 84132 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Laboratory panel | 2010-10-01 | 2199-12-31 |
| 82435 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Laboratory panel | 2010-10-01 | 2199-12-31 |
| 82374 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Laboratory panel | 2010-10-01 | 2199-12-31 |
Column 2 Pairs 80051 is the bundled code
When 80051 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) — 6 pairs
| Paired Code |
Mod
Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
|
Rationale | Effective | End Date |
|---|---|---|---|---|
| 80047 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2008-01-01 | 2199-12-31 |
| 80048 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2006-10-01 | 2199-12-31 |
| 80069 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2001-07-01 | 2199-12-31 |
| 80053 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2001-07-01 | 2199-12-31 |
| 80048 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Mutually exclusive procedures | 2000-07-01 | 2006-09-30 |
| 80049 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Mutually exclusive procedures | 1998-01-01 | 2000-06-30 |
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 |
|---|---|---|---|---|
| 80047 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2008-01-01 | 2199-12-31 |
| 80048 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2006-10-01 | 2199-12-31 |
| 80053 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2001-07-01 | 2199-12-31 |
| 80069 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2001-07-01 | 2199-12-31 |
| 80048 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Mutually exclusive procedures | 2000-07-01 | 2006-09-30 |
| 80049 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Mutually exclusive procedures | 1998-01-01 | 2000-06-30 |
Medicaid Facility — 4 pairs
| Paired Code |
Mod
Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
|
Rationale | Effective | End Date |
|---|---|---|---|---|
| 80069 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2010-10-01 | 2199-12-31 |
| 80047 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2010-10-01 | 2199-12-31 |
| 80048 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2010-10-01 | 2199-12-31 |
| 80053 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2010-10-01 | 2199-12-31 |
Medicaid Practitioner — 4 pairs
| Paired Code |
Mod
Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
|
Rationale | Effective | End Date |
|---|---|---|---|---|
| 80047 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2010-10-01 | 2199-12-31 |
| 80069 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2010-10-01 | 2199-12-31 |
| 80053 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2010-10-01 | 2199-12-31 |
| 80048 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2010-10-01 | 2199-12-31 |
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