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NCCI Code Pairs — 86709

Complete listing of CMS National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edits involving HCPCS/CPT code 86709.

8 Total Edits 2 as Column 1 6 as Column 2
← View HCPCS 86709 Detail Page

Column 1 Pairs 86709 is the primary code

When 86709 is reported as the Column 1 (comprehensive) code, the paired Column 2 code is bundled and generally not separately payable.

Medicare 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
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 86709 is the bundled code

When 86709 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) — 2 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
80074 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Laboratory panel 2000-07-01 2199-12-31
86708 · CCI
9 Not applicable — edit has been deleted or is no longer active
HCPCS/CPT procedure code definition 1998-04-01 1998-04-01
Medicare Practitioner — 2 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
80074 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Laboratory panel 2000-07-01 2199-12-31
86708 · CCI
9 Not applicable — edit has been deleted or is no longer active
HCPCS/CPT procedure code definition 1998-04-01 1998-04-01
Medicaid Facility — 1 pair
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
80074 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Laboratory panel 2010-10-01 2199-12-31
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
80074 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Laboratory panel 2010-10-01 2199-12-31

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