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NCCI Code Pairs — 88172

Complete listing of CMS National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edits involving HCPCS/CPT code 88172.

94 Total Edits 32 as Column 1 62 as Column 2
← View HCPCS 88172 Detail Page

Column 1 Pairs 88172 is the primary code

When 88172 is reported as the Column 1 (comprehensive) code, the paired Column 2 code is bundled and generally not separately payable.

Medicare Facility (Hospital Outpatient) — 9 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
88388 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2011-07-01 2024-12-31
88387 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2011-07-01 2199-12-31
88334 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2006-01-01 2199-12-31
88329 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2004-07-01 2199-12-31
88307 · CCI
9 Not applicable — edit has been deleted or is no longer active
Mutually exclusive procedures 1996-01-01 1996-01-01
88309 · CCI
9 Not applicable — edit has been deleted or is no longer active
Mutually exclusive procedures 1996-01-01 1996-01-01
88107 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 1996-01-01 2011-12-31
88162 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 1996-01-01 2199-12-31
88305 · CCI
9 Not applicable — edit has been deleted or is no longer active
Mutually exclusive procedures 1996-01-01 1996-01-01
Medicare Practitioner — 10 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
88388 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2011-07-01 2024-12-31
88387 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2011-07-01 2199-12-31
88334 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2006-01-01 2199-12-31
88329 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2004-07-01 2199-12-31
88107 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 1996-01-01 2011-12-31
88162 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 1996-01-01 2199-12-31
88305 · CCI
9 Not applicable — edit has been deleted or is no longer active
Mutually exclusive procedures 1996-01-01 1996-01-01
88307 · CCI
9 Not applicable — edit has been deleted or is no longer active
Mutually exclusive procedures 1996-01-01 1996-01-01
88309 · CCI
9 Not applicable — edit has been deleted or is no longer active
Mutually exclusive procedures 1996-01-01 1996-01-01
Medicaid Facility — 6 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
88388 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2011-07-01 2024-12-31
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
Mutually exclusive procedures 2010-10-01 2011-12-31
88162 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2010-10-01 2199-12-31
88329 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2199-12-31
88334 · 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
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
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
88388 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2011-07-01 2024-12-31
88387 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2011-07-01 2199-12-31
88334 · 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
88329 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2199-12-31
88162 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2010-10-01 2199-12-31
88107 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2010-10-01 2011-12-31

Column 2 Pairs 88172 is the bundled code

When 88172 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) — 21 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
32408 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Sequential procedure 2021-01-01 2199-12-31
19081 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Sequential procedure 2014-01-01 2199-12-31
19082 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Sequential procedure 2014-01-01 2199-12-31
19083 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Sequential procedure 2014-01-01 2199-12-31
19084 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Sequential procedure 2014-01-01 2199-12-31
19085 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Sequential procedure 2014-01-01 2199-12-31
19086 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Sequential procedure 2014-01-01 2199-12-31
88333 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2006-01-01 2199-12-31
19103 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Sequential procedure 2002-01-01 2013-12-31
19102 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Sequential procedure 2002-01-01 2013-12-31
19101 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Sequential procedure 2002-01-01 2199-12-31
32420 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Sequential procedure 1996-01-01 2012-12-31
32405 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Sequential procedure 1996-01-01 2020-12-31
32402 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Sequential procedure 1996-01-01 2011-12-31
32400 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Sequential procedure 1996-01-01 2199-12-31
88304 · CCI
9 Not applicable — edit has been deleted or is no longer active
Mutually exclusive procedures 1996-01-01 1996-01-01
88302 · CCI
9 Not applicable — edit has been deleted or is no longer active
Mutually exclusive procedures 1996-01-01 1996-01-01
88300 · CCI
9 Not applicable — edit has been deleted or is no longer active
Mutually exclusive procedures 1996-01-01 1996-01-01
60100 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Sequential procedure 1996-01-01 2199-12-31
88104 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 1996-01-01 2199-12-31
88106 · CCI
9 Not applicable — edit has been deleted or is no longer active
Mutually exclusive procedures 1996-01-01 1996-01-01
Medicare Practitioner — 7 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
88333 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2006-01-01 2199-12-31
88302 · CCI
9 Not applicable — edit has been deleted or is no longer active
Mutually exclusive procedures 1996-01-01 1996-01-01
88304 · CCI
9 Not applicable — edit has been deleted or is no longer active
Mutually exclusive procedures 1996-01-01 1996-01-01
60100 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Sequential procedure 1996-01-01 2199-12-31
88104 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 1996-01-01 2199-12-31
88106 · CCI
9 Not applicable — edit has been deleted or is no longer active
Mutually exclusive procedures 1996-01-01 1996-01-01
88300 · CCI
9 Not applicable — edit has been deleted or is no longer active
Mutually exclusive procedures 1996-01-01 1996-01-01
Medicaid Facility — 17 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
32408 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Sequential procedure 2021-01-01 2199-12-31
19083 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Sequential procedure 2014-01-01 2199-12-31
19084 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Sequential procedure 2014-01-01 2199-12-31
19085 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Sequential procedure 2014-01-01 2199-12-31
19086 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Sequential procedure 2014-01-01 2199-12-31
19082 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Sequential procedure 2014-01-01 2199-12-31
19081 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Sequential procedure 2014-01-01 2199-12-31
32400 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Sequential procedure 2010-10-01 2199-12-31
19101 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Sequential procedure 2010-10-01 2199-12-31
19102 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Sequential procedure 2010-10-01 2013-12-31
19103 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Sequential procedure 2010-10-01 2013-12-31
32402 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Sequential procedure 2010-10-01 2011-12-31
32405 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Sequential procedure 2010-10-01 2020-12-31
32420 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Sequential procedure 2010-10-01 2012-12-31
60100 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Sequential procedure 2010-10-01 2199-12-31
88104 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2010-10-01 2199-12-31
88333 · 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
Medicaid Practitioner — 17 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
32408 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Sequential procedure 2021-01-01 2199-12-31
19083 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Sequential procedure 2014-01-01 2199-12-31
19084 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Sequential procedure 2014-01-01 2199-12-31
19085 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Sequential procedure 2014-01-01 2199-12-31
19086 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Sequential procedure 2014-01-01 2199-12-31
19081 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Sequential procedure 2014-01-01 2199-12-31
19082 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Sequential procedure 2014-01-01 2199-12-31
60100 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Sequential procedure 2010-10-01 2199-12-31
32420 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Sequential procedure 2010-10-01 2012-12-31
19102 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Sequential procedure 2010-10-01 2013-12-31
32402 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Sequential procedure 2010-10-01 2011-12-31
32405 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Sequential procedure 2010-10-01 2020-12-31
32400 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Sequential procedure 2010-10-01 2199-12-31
19103 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Sequential procedure 2010-10-01 2013-12-31
19101 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Sequential procedure 2010-10-01 2199-12-31
88333 · 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
88104 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2010-10-01 2199-12-31

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