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NCCI Code Pairs — 88155

Complete listing of CMS National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edits involving HCPCS/CPT code 88155.

48 Total Edits 42 as Column 1 6 as Column 2
← View HCPCS 88155 Detail Page

Column 1 Pairs 88155 is the primary code

When 88155 is reported as the Column 1 (comprehensive) code, the paired Column 2 code is bundled and generally not separately payable.

Medicare Facility (Hospital Outpatient) — 15 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
88387 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2011-07-01 2199-12-31
88162 · CCI
9 Not applicable — edit has been deleted or is no longer active
Mutually exclusive procedures 1998-04-01 1998-04-01
88108 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1998-04-01 2199-12-31
88142 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Mutually exclusive procedures 1998-04-01 1998-12-31
88160 · CCI
9 Not applicable — edit has been deleted or is no longer active
Mutually exclusive procedures 1998-04-01 1998-04-01
88161 · CCI
9 Not applicable — edit has been deleted or is no longer active
Mutually exclusive procedures 1998-04-01 1998-04-01
88104 · CCI
9 Not applicable — edit has been deleted or is no longer active
Mutually exclusive procedures 1998-04-01 1998-04-01
88104 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1998-04-01 2199-12-31
88106 · CCI
9 Not applicable — edit has been deleted or is no longer active
Mutually exclusive procedures 1998-04-01 1998-04-01
88106 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1998-04-01 2199-12-31
88107 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1998-04-01 2011-12-31
88107 · CCI
9 Not applicable — edit has been deleted or is no longer active
Mutually exclusive procedures 1998-04-01 1998-04-01
88108 · CCI
9 Not applicable — edit has been deleted or is no longer active
Mutually exclusive procedures 1998-04-01 1998-04-01
88150 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
More extensive procedure 1996-01-01 1998-12-31
88151 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
More extensive procedure 1996-01-01 1998-03-31
Medicare Practitioner — 16 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
88387 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2011-07-01 2199-12-31
88160 · CCI
9 Not applicable — edit has been deleted or is no longer active
Mutually exclusive procedures 1998-04-01 1998-04-01
88104 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1998-04-01 2199-12-31
88106 · CCI
9 Not applicable — edit has been deleted or is no longer active
Mutually exclusive procedures 1998-04-01 1998-04-01
88106 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1998-04-01 2199-12-31
88107 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1998-04-01 2011-12-31
88107 · CCI
9 Not applicable — edit has been deleted or is no longer active
Mutually exclusive procedures 1998-04-01 1998-04-01
88108 · CCI
9 Not applicable — edit has been deleted or is no longer active
Mutually exclusive procedures 1998-04-01 1998-04-01
88108 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1998-04-01 2199-12-31
88142 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Mutually exclusive procedures 1998-04-01 1998-12-31
88161 · CCI
9 Not applicable — edit has been deleted or is no longer active
Mutually exclusive procedures 1998-04-01 1998-04-01
88162 · CCI
9 Not applicable — edit has been deleted or is no longer active
Mutually exclusive procedures 1998-04-01 1998-04-01
88104 · CCI
9 Not applicable — edit has been deleted or is no longer active
Mutually exclusive procedures 1998-04-01 1998-04-01
88151 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
More extensive procedure 1996-01-01 1998-03-31
88150 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
More extensive procedure 1996-01-01 1998-12-31
Medicaid Facility — 5 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
88387 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2011-07-01 2199-12-31
88106 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
88104 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
88107 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2011-12-31
88108 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
Medicaid Practitioner — 6 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
88387 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2011-07-01 2199-12-31
88107 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2011-12-31
88106 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
88108 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
88104 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31

Column 2 Pairs 88155 is the bundled code

When 88155 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) — 3 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
P3000 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Mutually exclusive procedures 1998-04-01 1998-12-31
88158 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 1998-04-01 1999-03-31
88156 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 1998-04-01 1999-03-31
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
88156 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 1998-04-01 1999-03-31
88158 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 1998-04-01 1999-03-31
P3000 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Mutually exclusive procedures 1998-04-01 1998-12-31

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