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NCCI Code Pairs — 80053

Complete listing of CMS National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edits involving HCPCS/CPT code 80053.

98 Total Edits 78 as Column 1 20 as Column 2
← View HCPCS 80053 Detail Page

Column 1 Pairs 80053 is the primary code

When 80053 is reported as the Column 1 (comprehensive) code, the paired Column 2 code is bundled and generally not separately payable.

Medicare Facility (Hospital Outpatient) — 19 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
CPT Manual or CMS manual coding instruction 2008-01-01 2199-12-31
80069 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2001-07-01 2199-12-31
80051 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2001-07-01 2199-12-31
84075 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Laboratory panel 2000-07-01 2199-12-31
80048 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2000-07-01 2199-12-31
80076 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2000-07-01 2199-12-31
82040 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Laboratory panel 2000-07-01 2199-12-31
82247 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Laboratory panel 2000-07-01 2199-12-31
82310 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Laboratory panel 2000-07-01 2199-12-31
82374 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Laboratory panel 2000-07-01 2199-12-31
82435 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Laboratory panel 2000-07-01 2199-12-31
82565 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Laboratory panel 2000-07-01 2199-12-31
82947 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Laboratory panel 2000-07-01 2199-12-31
84132 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Laboratory panel 2000-07-01 2199-12-31
84155 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Laboratory panel 2000-07-01 2199-12-31
84295 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Laboratory panel 2000-07-01 2199-12-31
84450 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Laboratory panel 2000-07-01 2199-12-31
84460 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Laboratory panel 2000-07-01 2199-12-31
84520 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Laboratory panel 2000-07-01 2199-12-31
Medicare 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
80047 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2008-01-01 2199-12-31
80051 · 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
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2001-07-01 2199-12-31
82310 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Laboratory panel 2000-07-01 2199-12-31
80076 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2000-07-01 2199-12-31
82040 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Laboratory panel 2000-07-01 2199-12-31
82247 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Laboratory panel 2000-07-01 2199-12-31
82435 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Laboratory panel 2000-07-01 2199-12-31
82374 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Laboratory panel 2000-07-01 2199-12-31
84520 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Laboratory panel 2000-07-01 2199-12-31
80048 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2000-07-01 2199-12-31
84460 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Laboratory panel 2000-07-01 2199-12-31
84450 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Laboratory panel 2000-07-01 2199-12-31
84295 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Laboratory panel 2000-07-01 2199-12-31
84155 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Laboratory panel 2000-07-01 2199-12-31
84132 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Laboratory panel 2000-07-01 2199-12-31
84075 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Laboratory panel 2000-07-01 2199-12-31
82947 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Laboratory panel 2000-07-01 2199-12-31
82565 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Laboratory panel 2000-07-01 2199-12-31
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
80047 · 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
80048 · 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
80051 · 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
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
80076 · 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
82040 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Laboratory panel 2010-10-01 2199-12-31
82247 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Laboratory panel 2010-10-01 2199-12-31
82310 · 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
82565 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Laboratory panel 2010-10-01 2199-12-31
82947 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Laboratory panel 2010-10-01 2199-12-31
84075 · 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
84155 · 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
84450 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Laboratory panel 2010-10-01 2199-12-31
84460 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Laboratory panel 2010-10-01 2199-12-31
84520 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Laboratory panel 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
84075 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Laboratory panel 2010-10-01 2199-12-31
82947 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Laboratory panel 2010-10-01 2199-12-31
82565 · 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
82310 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Laboratory panel 2010-10-01 2199-12-31
82247 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Laboratory panel 2010-10-01 2199-12-31
82040 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Laboratory panel 2010-10-01 2199-12-31
80076 · 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
80069 · 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
80048 · 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
80051 · 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
CPT Manual or CMS manual coding instruction 2010-10-01 2199-12-31
84520 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Laboratory panel 2010-10-01 2199-12-31
84460 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Laboratory panel 2010-10-01 2199-12-31
84450 · 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
84155 · 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

Column 2 Pairs 80053 is the bundled code

When 80053 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
0344U · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2023-01-01 2199-12-31
0014M · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2021-01-01 2023-06-30
0166U · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2021-01-01 2199-12-31
0002M · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2017-04-01 2199-12-31
0003M · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2017-04-01 2199-12-31
0001M · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2017-04-01 2018-12-31
Medicaid Facility — 7 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
0344U · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2023-01-01 2199-12-31
0014M · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2021-01-01 2023-06-30
0166U · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2021-01-01 2199-12-31
0002M · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2017-04-01 2199-12-31
0003M · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2017-04-01 2199-12-31
0001M · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2017-04-01 2018-12-31
80050 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2013-10-01 2199-12-31
Medicaid Practitioner — 7 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
0344U · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2023-01-01 2199-12-31
0166U · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2021-01-01 2199-12-31
0014M · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2021-01-01 2023-06-30
0001M · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2017-04-01 2018-12-31
0002M · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2017-04-01 2199-12-31
0003M · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2017-04-01 2199-12-31
80050 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2013-10-01 2199-12-31

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