NCCI Code Pairs — 81002
Complete listing of CMS National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edits involving HCPCS/CPT code 81002.
237 Total Edits
10 as Column 1
227 as Column 2
← View HCPCS 81002 Detail Page
Column 1 Pairs 81002 is the primary code
When 81002 is reported as the Column 1 (comprehensive) code, the paired Column 2 code is bundled 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 |
|---|---|---|---|---|
| 81007 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 1996-01-01 | 2199-12-31 |
| 81015 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 1996-01-01 | 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 |
|---|---|---|---|---|
| 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 |
| 81007 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 1996-01-01 | 2199-12-31 |
| 81015 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 1996-01-01 | 2199-12-31 |
Medicaid Facility — 2 pairs
| Paired Code |
Mod
Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
|
Rationale | Effective | End Date |
|---|---|---|---|---|
| 81015 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2010-10-01 | 2199-12-31 |
| 81007 · 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 |
|---|---|---|---|---|
| 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 |
| 81015 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2010-10-01 | 2199-12-31 |
| 81007 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2010-10-01 | 2199-12-31 |
Column 2 Pairs 81002 is the bundled code
When 81002 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) — 47 pairs
| Paired Code |
Mod
Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
|
Rationale | Effective | End Date |
|---|---|---|---|---|
| 0520U · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2026-04-01 | 2199-12-31 |
| 0328U · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2023-01-01 | 2199-12-31 |
| 0147U · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2021-01-01 | 2023-06-30 |
| 0145U · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2021-01-01 | 2023-06-30 |
| 0149U · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2021-01-01 | 2023-06-30 |
| 0148U · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2021-01-01 | 2023-06-30 |
| 0146U · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2021-01-01 | 2023-06-30 |
| 0143U · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2021-01-01 | 2023-06-30 |
| 0144U · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2021-01-01 | 2023-06-30 |
| 0150U · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2021-01-01 | 2023-06-30 |
| 0116U · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2020-01-01 | 2199-12-31 |
| 0082U · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2019-07-01 | 2199-12-31 |
| 0020U · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2018-07-01 | 2018-09-30 |
| 0007U · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2018-01-01 | 2199-12-31 |
| C9746 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2018-01-01 | 2019-06-30 |
| 0006U · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2018-01-01 | 2020-03-31 |
| G0659 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2017-10-01 | 2199-12-31 |
| 80307 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2017-01-01 | 2199-12-31 |
| 80306 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2017-01-01 | 2199-12-31 |
| 80305 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2017-01-01 | 2199-12-31 |
| G0477 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2016-04-01 | 2016-12-31 |
| G0483 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2016-04-01 | 2199-12-31 |
| G0482 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2016-04-01 | 2199-12-31 |
| G0481 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2016-04-01 | 2199-12-31 |
| G0480 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2016-04-01 | 2199-12-31 |
| G0479 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2016-04-01 | 2016-12-31 |
| G0478 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2016-04-01 | 2016-12-31 |
| 00144 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Standard preparation/monitoring services for anesthesia | 2009-01-01 | 2199-12-31 |
| 00100 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Standard preparation/monitoring services for anesthesia | 2009-01-01 | 2199-12-31 |
| 00102 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Standard preparation/monitoring services for anesthesia | 2009-01-01 | 2199-12-31 |
| 00103 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Standard preparation/monitoring services for anesthesia | 2009-01-01 | 2199-12-31 |
| 00104 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Standard preparation/monitoring services for anesthesia | 2009-01-01 | 2199-12-31 |
| 00120 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Standard preparation/monitoring services for anesthesia | 2009-01-01 | 2199-12-31 |
| 00124 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Standard preparation/monitoring services for anesthesia | 2009-01-01 | 2199-12-31 |
| 00126 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Standard preparation/monitoring services for anesthesia | 2009-01-01 | 2199-12-31 |
| 00140 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Standard preparation/monitoring services for anesthesia | 2009-01-01 | 2199-12-31 |
| 00142 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Standard preparation/monitoring services for anesthesia | 2009-01-01 | 2199-12-31 |
| 59425 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Standards of medical/surgical practice | 2007-07-01 | 2199-12-31 |
| 59510 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Misuse of Column Two code with Column One code | 2007-07-01 | 2199-12-31 |
| 59618 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Misuse of Column Two code with Column One code | 2007-07-01 | 2199-12-31 |
| 59610 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Misuse of Column Two code with Column One code | 2007-07-01 | 2199-12-31 |
| 59426 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Standards of medical/surgical practice | 2007-07-01 | 2199-12-31 |
| 59400 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Misuse of Column Two code with Column One code | 2007-07-01 | 2199-12-31 |
| 81001 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
More extensive procedure | 1997-01-01 | 2199-12-31 |
| 81003 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Mutually exclusive procedures | 1996-01-01 | 2199-12-31 |
| 81005 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 1996-01-01 | 2199-12-31 |
| 81000 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
HCPCS/CPT procedure code definition | 1996-01-01 | 2199-12-31 |
Medicare Practitioner — 86 pairs
| Paired Code |
Mod
Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
|
Rationale | Effective | End Date |
|---|---|---|---|---|
| C9746 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2018-01-01 | 2019-06-30 |
| G0659 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2017-10-01 | 2199-12-31 |
| 80305 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2017-01-01 | 2199-12-31 |
| 80307 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2017-01-01 | 2199-12-31 |
| 80306 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2017-01-01 | 2199-12-31 |
| G0478 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2016-04-01 | 2016-12-31 |
| G0479 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2016-04-01 | 2016-12-31 |
| G0480 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2016-04-01 | 2199-12-31 |
| G0481 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2016-04-01 | 2199-12-31 |
| G0482 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2016-04-01 | 2199-12-31 |
| G0483 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2016-04-01 | 2199-12-31 |
| G0477 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2016-04-01 | 2016-12-31 |
| 59618 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Misuse of Column Two code with Column One code | 2007-07-01 | 2199-12-31 |
| 59610 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Misuse of Column Two code with Column One code | 2007-07-01 | 2199-12-31 |
| 59510 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Misuse of Column Two code with Column One code | 2007-07-01 | 2199-12-31 |
| 59425 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Standards of medical/surgical practice | 2007-07-01 | 2199-12-31 |
| 59400 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Misuse of Column Two code with Column One code | 2007-07-01 | 2199-12-31 |
| 59426 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Standards of medical/surgical practice | 2007-07-01 | 2199-12-31 |
| 99360 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99201 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99202 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99203 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99204 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99205 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99211 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99212 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99213 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99214 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99215 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99217 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99218 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99219 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99220 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99221 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99222 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99223 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99231 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99232 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99233 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99238 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99239 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99241 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99242 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99243 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99244 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99245 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99251 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99252 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99253 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99254 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99255 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99261 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99262 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99263 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99271 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99272 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99273 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99275 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99281 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99282 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99283 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99284 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99285 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99291 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99292 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99301 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99302 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99303 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99311 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99312 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99313 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99321 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99322 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99323 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99331 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99332 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99333 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99341 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99342 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99343 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99354 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 99356 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Standards of medical/surgical practice | 1998-01-01 | 1998-01-01 |
| 81001 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
More extensive procedure | 1997-01-01 | 2199-12-31 |
| 81005 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 1996-01-01 | 2199-12-31 |
| 81000 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
HCPCS/CPT procedure code definition | 1996-01-01 | 2199-12-31 |
| 81003 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Mutually exclusive procedures | 1996-01-01 | 2199-12-31 |
Medicaid Facility — 47 pairs
| Paired Code |
Mod
Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
|
Rationale | Effective | End Date |
|---|---|---|---|---|
| 0520U · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2026-04-01 | 2199-12-31 |
| 0328U · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2023-01-01 | 2199-12-31 |
| 0149U · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2021-01-01 | 2023-06-30 |
| 0150U · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2021-01-01 | 2023-06-30 |
| 0148U · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2021-01-01 | 2023-06-30 |
| 0147U · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2021-01-01 | 2023-06-30 |
| 0146U · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2021-01-01 | 2023-06-30 |
| 0145U · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2021-01-01 | 2023-06-30 |
| 0144U · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2021-01-01 | 2023-06-30 |
| 0143U · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2021-01-01 | 2023-06-30 |
| 0116U · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2020-01-01 | 2199-12-31 |
| 0082U · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2019-07-01 | 2199-12-31 |
| 0020U · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2018-07-01 | 2018-09-30 |
| 0007U · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2018-01-01 | 2199-12-31 |
| C9746 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2018-01-01 | 2019-06-30 |
| 0006U · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2018-01-01 | 2020-03-31 |
| G0659 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2017-10-01 | 2199-12-31 |
| 80306 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2017-01-01 | 2199-12-31 |
| 80307 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2017-01-01 | 2199-12-31 |
| 80305 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2017-01-01 | 2199-12-31 |
| G0481 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2016-04-01 | 2199-12-31 |
| G0477 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2016-04-01 | 2016-12-31 |
| G0478 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2016-04-01 | 2016-12-31 |
| G0479 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2016-04-01 | 2016-12-31 |
| G0480 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2016-04-01 | 2199-12-31 |
| G0482 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2016-04-01 | 2199-12-31 |
| G0483 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2016-04-01 | 2199-12-31 |
| 59510 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Misuse of Column Two code with Column One code | 2010-10-01 | 2199-12-31 |
| 59425 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Standards of medical/surgical practice | 2010-10-01 | 2199-12-31 |
| 59426 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Standards of medical/surgical practice | 2010-10-01 | 2199-12-31 |
| 00104 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Standard preparation/monitoring services for anesthesia | 2010-10-01 | 2199-12-31 |
| 00120 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Standard preparation/monitoring services for anesthesia | 2010-10-01 | 2199-12-31 |
| 00124 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Standard preparation/monitoring services for anesthesia | 2010-10-01 | 2199-12-31 |
| 00126 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Standard preparation/monitoring services for anesthesia | 2010-10-01 | 2199-12-31 |
| 00140 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Standard preparation/monitoring services for anesthesia | 2010-10-01 | 2199-12-31 |
| 00142 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Standard preparation/monitoring services for anesthesia | 2010-10-01 | 2199-12-31 |
| 00100 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Standard preparation/monitoring services for anesthesia | 2010-10-01 | 2199-12-31 |
| 59610 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Misuse of Column Two code with Column One code | 2010-10-01 | 2199-12-31 |
| 00144 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Standard preparation/monitoring services for anesthesia | 2010-10-01 | 2199-12-31 |
| 81005 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2010-10-01 | 2199-12-31 |
| 81003 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Mutually exclusive procedures | 2010-10-01 | 2199-12-31 |
| 81001 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
More extensive procedure | 2010-10-01 | 2199-12-31 |
| 81000 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
HCPCS/CPT procedure code definition | 2010-10-01 | 2199-12-31 |
| 59400 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Misuse of Column Two code with Column One code | 2010-10-01 | 2199-12-31 |
| 00103 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Standard preparation/monitoring services for anesthesia | 2010-10-01 | 2199-12-31 |
| 59618 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Misuse of Column Two code with Column One code | 2010-10-01 | 2199-12-31 |
| 00102 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Standard preparation/monitoring services for anesthesia | 2010-10-01 | 2199-12-31 |
Medicaid Practitioner — 47 pairs
| Paired Code |
Mod
Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
|
Rationale | Effective | End Date |
|---|---|---|---|---|
| 0520U · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2026-04-01 | 2199-12-31 |
| 0328U · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2023-01-01 | 2199-12-31 |
| 0145U · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2021-01-01 | 2023-06-30 |
| 0144U · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2021-01-01 | 2023-06-30 |
| 0143U · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2021-01-01 | 2023-06-30 |
| 0149U · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2021-01-01 | 2023-06-30 |
| 0148U · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2021-01-01 | 2023-06-30 |
| 0147U · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2021-01-01 | 2023-06-30 |
| 0146U · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2021-01-01 | 2023-06-30 |
| 0150U · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2021-01-01 | 2023-06-30 |
| 0116U · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2020-01-01 | 2199-12-31 |
| 0082U · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2019-07-01 | 2199-12-31 |
| 0020U · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2018-07-01 | 2018-09-30 |
| 0006U · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2018-01-01 | 2020-03-31 |
| C9746 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2018-01-01 | 2019-06-30 |
| 0007U · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2018-01-01 | 2199-12-31 |
| G0659 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2017-10-01 | 2199-12-31 |
| 80307 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2017-01-01 | 2199-12-31 |
| 80306 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2017-01-01 | 2199-12-31 |
| 80305 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2017-01-01 | 2199-12-31 |
| G0479 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2016-04-01 | 2016-12-31 |
| G0480 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2016-04-01 | 2199-12-31 |
| G0482 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2016-04-01 | 2199-12-31 |
| G0481 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2016-04-01 | 2199-12-31 |
| G0483 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
HCPCS/CPT procedure code definition | 2016-04-01 | 2199-12-31 |
| G0477 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2016-04-01 | 2016-12-31 |
| G0478 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2016-04-01 | 2016-12-31 |
| 00126 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Standard preparation/monitoring services for anesthesia | 2010-10-01 | 2199-12-31 |
| 00140 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Standard preparation/monitoring services for anesthesia | 2010-10-01 | 2199-12-31 |
| 00144 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Standard preparation/monitoring services for anesthesia | 2010-10-01 | 2199-12-31 |
| 00100 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Standard preparation/monitoring services for anesthesia | 2010-10-01 | 2199-12-31 |
| 00102 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Standard preparation/monitoring services for anesthesia | 2010-10-01 | 2199-12-31 |
| 59610 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Misuse of Column Two code with Column One code | 2010-10-01 | 2199-12-31 |
| 59510 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Misuse of Column Two code with Column One code | 2010-10-01 | 2199-12-31 |
| 59426 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Standards of medical/surgical practice | 2010-10-01 | 2199-12-31 |
| 59425 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Standards of medical/surgical practice | 2010-10-01 | 2199-12-31 |
| 59618 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Misuse of Column Two code with Column One code | 2010-10-01 | 2199-12-31 |
| 81005 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2010-10-01 | 2199-12-31 |
| 59400 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Misuse of Column Two code with Column One code | 2010-10-01 | 2199-12-31 |
| 81003 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Mutually exclusive procedures | 2010-10-01 | 2199-12-31 |
| 81001 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
More extensive procedure | 2010-10-01 | 2199-12-31 |
| 81000 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
HCPCS/CPT procedure code definition | 2010-10-01 | 2199-12-31 |
| 00103 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Standard preparation/monitoring services for anesthesia | 2010-10-01 | 2199-12-31 |
| 00104 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Standard preparation/monitoring services for anesthesia | 2010-10-01 | 2199-12-31 |
| 00120 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Standard preparation/monitoring services for anesthesia | 2010-10-01 | 2199-12-31 |
| 00124 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Standard preparation/monitoring services for anesthesia | 2010-10-01 | 2199-12-31 |
| 00142 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Standard preparation/monitoring services for anesthesia | 2010-10-01 | 2199-12-31 |
Automate NCCI edit checking
Bedrock Billing validates CCI code pairs, modifier requirements, and bundling logic automatically.
Try Bedrock Billing for Free