NCCI Code Pairs — 90385

Complete listing of CMS National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edits involving HCPCS/CPT code 90385.

11 Total Edits 7 as Column 1 4 as Column 2

Column 1 Pairs 90385 is the primary code

When 90385 is reported as the Column 1 (comprehensive) code, the paired Column 2 code is bundled and generally not separately payable.

Medicare Practitioner — 4 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
36591 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	CPT Manual or CMS manual coding instruction	2015-10-01	2199-12-31
36592 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	CPT Manual or CMS manual coding instruction	2015-10-01	2199-12-31
J2792 · CCI	9 Not applicable — edit has been deleted or is no longer active	Mutually exclusive procedures	2000-06-05	2000-06-05

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
36592 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	CPT Manual or CMS manual coding instruction	2015-10-01	2199-12-31
36591 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	CPT Manual or CMS manual coding instruction	2015-10-01	2199-12-31

When 90385 is reported as the Column 2 (component) code, it is bundled into the Column 1 comprehensive code and generally not separately payable.

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
J2792 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2000-07-01	2199-12-31
J2790 · CCI	1 Modifier allowed — a NCCI-associated modifier may permit separate reporting	More extensive procedure	2000-07-01	2199-12-31

Medicaid Practitioner — 2 pairs

Paired Code	Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A	Rationale	Effective	End Date
J2790 · CCI	1 Modifier allowed — a NCCI-associated modifier may permit separate reporting	More extensive procedure	2010-10-01	2199-12-31
J2792 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2010-10-01	2199-12-31

Bedrock Billing validates CCI code pairs, modifier requirements, and bundling logic automatically.