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NCCI Code Pairs — 92973

Complete listing of CMS National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edits involving HCPCS/CPT code 92973.

140 Total Edits 140 as Column 1
← View HCPCS 92973 Detail Page

Column 1 Pairs 92973 is the primary code

When 92973 is reported as the Column 1 (comprehensive) code, the paired Column 2 code is bundled and generally not separately payable.

Medicare Facility (Hospital Outpatient) — 32 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
0913T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2025-07-01 2199-12-31
99156 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2017-01-01 2199-12-31
99155 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2017-01-01 2199-12-31
99157 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2017-01-01 2199-12-31
11005 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-10-01 2199-12-31
11047 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-10-01 2199-12-31
97602 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-10-01 2199-12-31
97598 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-10-01 2199-12-31
97597 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-10-01 2199-12-31
11000 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-10-01 2199-12-31
11001 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-10-01 2199-12-31
11004 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-10-01 2199-12-31
11006 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-10-01 2199-12-31
11042 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-10-01 2199-12-31
11043 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-10-01 2199-12-31
11044 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-10-01 2199-12-31
11045 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-10-01 2199-12-31
11046 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-10-01 2199-12-31
93050 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2016-01-01 2199-12-31
99145 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2009-10-01 2016-12-31
99150 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2009-10-01 2016-12-31
99144 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2009-01-01 2016-12-31
99143 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2009-01-01 2016-12-31
99148 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2008-10-01 2016-12-31
99149 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2008-10-01 2016-12-31
93005 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2008-07-01 2199-12-31
93000 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2008-07-01 2199-12-31
94770 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2008-07-01 2020-12-31
93042 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2008-07-01 2199-12-31
93041 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2008-07-01 2199-12-31
93040 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2008-07-01 2199-12-31
93010 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2008-07-01 2199-12-31
Medicare Practitioner — 38 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
0913T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2025-07-01 2199-12-31
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
99157 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2017-01-01 2199-12-31
99156 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2017-01-01 2199-12-31
99155 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2017-01-01 2199-12-31
11000 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-10-01 2199-12-31
97602 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-10-01 2199-12-31
97598 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-10-01 2199-12-31
97597 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-10-01 2199-12-31
11047 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-10-01 2199-12-31
11046 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-10-01 2199-12-31
11045 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-10-01 2199-12-31
11044 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-10-01 2199-12-31
11043 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-10-01 2199-12-31
11042 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-10-01 2199-12-31
11006 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-10-01 2199-12-31
11005 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-10-01 2199-12-31
11004 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-10-01 2199-12-31
11001 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-10-01 2199-12-31
93050 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2016-01-01 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
99150 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2009-10-01 2016-12-31
99145 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2009-10-01 2016-12-31
99149 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2008-10-01 2016-12-31
99148 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2008-10-01 2016-12-31
93010 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2008-07-01 2199-12-31
93041 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2008-07-01 2199-12-31
93042 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2008-07-01 2199-12-31
93005 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2008-07-01 2199-12-31
94770 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2008-07-01 2020-12-31
93000 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2008-07-01 2199-12-31
93040 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2008-07-01 2199-12-31
99143 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2006-04-01 2016-12-31
99144 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2006-04-01 2016-12-31
01924 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Anesthesia service included in surgical procedure 2002-07-01 2199-12-31
01925 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Anesthesia service included in surgical procedure 2002-07-01 2199-12-31
01926 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Anesthesia service included in surgical procedure 2002-07-01 2199-12-31
Medicaid Facility — 32 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
0913T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2025-07-01 2199-12-31
99157 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2017-01-01 2199-12-31
99155 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2017-01-01 2199-12-31
99156 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2017-01-01 2199-12-31
97598 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-10-01 2199-12-31
11001 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-10-01 2199-12-31
97597 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-10-01 2199-12-31
11004 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-10-01 2199-12-31
11005 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-10-01 2199-12-31
11006 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-10-01 2199-12-31
11042 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-10-01 2199-12-31
11043 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-10-01 2199-12-31
11044 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-10-01 2199-12-31
97602 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-10-01 2199-12-31
11045 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-10-01 2199-12-31
11046 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-10-01 2199-12-31
11047 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-10-01 2199-12-31
11000 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-10-01 2199-12-31
93050 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2016-01-01 2199-12-31
93010 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
93005 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
93000 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
94770 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2020-12-31
93042 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
93041 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
93040 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
99149 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2016-12-31
99148 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2016-12-31
99145 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2010-10-01 2016-12-31
99150 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2016-12-31
99144 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2010-10-01 2016-12-31
99143 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2010-10-01 2016-12-31
Medicaid Practitioner — 38 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
0913T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2025-07-01 2199-12-31
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
99156 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2017-01-01 2199-12-31
99155 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2017-01-01 2199-12-31
99157 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2017-01-01 2199-12-31
11043 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-10-01 2199-12-31
97602 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-10-01 2199-12-31
97598 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-10-01 2199-12-31
97597 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-10-01 2199-12-31
11047 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-10-01 2199-12-31
11046 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-10-01 2199-12-31
11045 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-10-01 2199-12-31
11044 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-10-01 2199-12-31
11042 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-10-01 2199-12-31
11006 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-10-01 2199-12-31
11005 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-10-01 2199-12-31
11004 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-10-01 2199-12-31
11001 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-10-01 2199-12-31
11000 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-10-01 2199-12-31
93050 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2016-01-01 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
93005 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
93010 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
93040 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
93041 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
93042 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
94770 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2020-12-31
99143 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2010-10-01 2016-12-31
99144 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2010-10-01 2016-12-31
99145 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2010-10-01 2016-12-31
99148 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2010-10-01 2016-12-31
01924 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Anesthesia service included in surgical procedure 2010-10-01 2199-12-31
99149 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2010-10-01 2016-12-31
01925 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Anesthesia service included in surgical procedure 2010-10-01 2199-12-31
99150 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2010-10-01 2016-12-31
01926 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Anesthesia service included in surgical procedure 2010-10-01 2199-12-31
93000 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31

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