NCCI Code Pairs — 81015
Complete listing of CMS National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edits involving HCPCS/CPT code 81015.
68 Total Edits
6 as Column 1
62 as Column 2
← View HCPCS 81015 Detail Page
Column 1 Pairs 81015 is the primary code
When 81015 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 |
|---|---|---|---|---|
| 81000 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Mutually exclusive procedures | 1996-01-01 | 1996-01-01 |
| 82044 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
HCPCS/CPT procedure code definition | 1996-01-01 | 1996-01-01 |
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 |
| 81000 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Mutually exclusive procedures | 1996-01-01 | 1996-01-01 |
| 82044 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
HCPCS/CPT procedure code definition | 1996-01-01 | 1996-01-01 |
Medicaid Practitioner — 1 pair
| 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 |
Column 2 Pairs 81015 is the bundled code
When 81015 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) — 18 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 |
| 89331 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Standards of medical/surgical practice | 2009-04-01 | 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 81003 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2000-07-01 | 2199-12-31 |
| 81001 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 1997-04-01 | 2199-12-31 |
| 81000 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Standards of medical/surgical practice | 1996-04-01 | 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 |
| 81007 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 1996-01-01 | 2199-12-31 |
| 81002 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 1996-01-01 | 2199-12-31 |
Medicare Practitioner — 8 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 |
| 89331 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Standards of medical/surgical practice | 2009-04-01 | 2199-12-31 |
| 81003 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2000-07-01 | 2199-12-31 |
| 81001 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 1997-04-01 | 2199-12-31 |
| 81000 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Standards of medical/surgical practice | 1996-04-01 | 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 |
| 81005 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 1996-01-01 | 2199-12-31 |
| 81002 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 1996-01-01 | 2199-12-31 |
Medicaid Facility — 18 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 |
| 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 |
| 89331 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Standards of medical/surgical practice | 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 |
| 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 |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2010-10-01 | 2199-12-31 |
| 81002 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2010-10-01 | 2199-12-31 |
| 81001 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2010-10-01 | 2199-12-31 |
| 81000 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Standards of medical/surgical practice | 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 |
| 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 |
| 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 |
Medicaid Practitioner — 18 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 |
| 81000 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Standards of medical/surgical practice | 2010-10-01 | 2199-12-31 |
| 89331 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Standards of medical/surgical practice | 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 |
| 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 |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2010-10-01 | 2199-12-31 |
| 81002 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2010-10-01 | 2199-12-31 |
| 81001 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 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 |
| 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 |
| 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 |
| 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 |
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