NCCI Code Pairs — 96171
Complete listing of CMS National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edits involving HCPCS/CPT code 96171.
361 Total Edits
112 as Column 1
249 as Column 2
← View HCPCS 96171 Detail Page
Column 1 Pairs 96171 is the primary code
When 96171 is reported as the Column 1 (comprehensive) code, the paired Column 2 code is bundled and generally not separately payable.
Medicare Facility (Hospital Outpatient) — 26 pairs
| Paired Code |
Mod
Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
|
Rationale | Effective | End Date |
|---|---|---|---|---|
| 99407 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 90785 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 99406 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| G0397 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 97153 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 97152 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 97151 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 90889 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 90882 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 90869 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 90868 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 90867 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 90863 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 90785 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 0488T · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2020-01-01 | 2199-12-31 |
| 0403T · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2020-01-01 | 2199-12-31 |
| 0373T · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 0362T · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| G0397 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 99407 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 99406 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 97158 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 97157 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 97156 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 97155 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 97154 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
Medicare Practitioner — 29 pairs
| Paired Code |
Mod
Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
|
Rationale | Effective | End Date |
|---|---|---|---|---|
| G0397 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 99407 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 99406 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 90785 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| G0397 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 0488T · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2020-01-01 | 2199-12-31 |
| 36591 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 36592 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 90785 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 90863 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 90867 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 90868 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 90869 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 90882 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 90889 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 96523 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 97151 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 97152 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 97153 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 97154 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 97155 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 97156 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 97157 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 97158 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 99406 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 99407 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 0403T · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2020-01-01 | 2199-12-31 |
| 0362T · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 0373T · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
Medicaid Facility — 28 pairs
| Paired Code |
Mod
Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
|
Rationale | Effective | End Date |
|---|---|---|---|---|
| 90785 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 99406 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 99407 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| G0397 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 36592 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 0362T · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 0373T · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 0403T · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2020-01-01 | 2199-12-31 |
| 0488T · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2020-01-01 | 2199-12-31 |
| 36591 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 90785 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 90863 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 90867 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 90868 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 90869 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 90882 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 90889 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 97151 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 97152 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 97153 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 97154 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 97155 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 97156 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 97157 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 97158 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 99406 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 99407 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| G0397 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
Medicaid Practitioner — 29 pairs
| Paired Code |
Mod
Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
|
Rationale | Effective | End Date |
|---|---|---|---|---|
| 90785 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| G0397 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 99407 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 99406 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| G0397 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 99407 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 99406 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 97158 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 97157 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 97156 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 97155 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 97154 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 97153 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 97152 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 97151 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 96523 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 90889 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 90882 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 90869 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 90868 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 90867 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 90863 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 90785 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 36592 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 36591 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 0488T · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2020-01-01 | 2199-12-31 |
| 0403T · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2020-01-01 | 2199-12-31 |
| 0373T · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 0362T · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
Column 2 Pairs 96171 is the bundled code
When 96171 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) — 63 pairs
| Paired Code |
Mod
Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
|
Rationale | Effective | End Date |
|---|---|---|---|---|
| 90834 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| G0442 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 90853 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| G0396 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| G0443 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 90832 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 90847 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 90836 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 90846 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 90792 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 90845 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| G0445 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 96161 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 99497 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 90840 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 90833 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 90839 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 96160 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 90838 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 90837 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 90791 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| G0444 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| G0442 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| G0396 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 96161 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 96160 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 90887 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 90885 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 90880 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 90876 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 90875 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 90870 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 90865 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 90853 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 90849 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 90847 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 90846 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 90845 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 99497 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 90840 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 90839 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 90838 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 90837 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 90836 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 0591T · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 99412 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 0592T · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 0593T · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 90791 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 90792 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 90832 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 90833 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 90834 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 99411 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 99409 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 99408 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 99404 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 99403 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 99402 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 99401 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| G0445 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| G0444 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| G0443 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
Medicare Practitioner — 60 pairs
| Paired Code |
Mod
Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
|
Rationale | Effective | End Date |
|---|---|---|---|---|
| 90791 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| G0445 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| G0444 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| G0443 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| G0442 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| G0396 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 99497 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 96161 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 96160 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 90853 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 90792 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 90832 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 90833 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 90834 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 90836 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 90837 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 90838 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 90839 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 90840 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 90845 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 90846 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 90847 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 99401 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 99402 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 99403 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 99404 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 99408 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 99409 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 99411 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 99412 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 99497 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| G0396 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| G0442 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| G0443 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| G0444 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| G0445 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 90849 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 90791 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 90846 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 90792 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 90838 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 90832 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 90845 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 90833 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 90839 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 90834 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 90847 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 90836 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 90840 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 90837 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 90853 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 90865 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 90870 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 90875 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 90876 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 90880 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 90885 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 90887 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 96160 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 96161 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
Medicaid Facility — 63 pairs
| Paired Code |
Mod
Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
|
Rationale | Effective | End Date |
|---|---|---|---|---|
| 90791 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 90792 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 90832 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 90833 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 90834 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 90836 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 90837 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 90838 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 90839 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 90840 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 90845 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 90846 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 90847 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 90853 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 96160 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 96161 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 99497 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| G0396 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| G0442 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| G0443 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| G0444 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| G0445 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 0591T · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 0592T · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 0593T · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 90791 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 90792 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 90832 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 90833 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 90834 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 90836 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 90837 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 90838 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 90839 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 90840 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 90845 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 90846 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 90847 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 90849 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 90853 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 90865 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 90870 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 90875 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 90876 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 90880 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 90885 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 90887 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 96160 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 96161 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 99401 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 99402 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 99403 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 99404 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 99408 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 99409 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 99411 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 99412 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 99497 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| G0396 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| G0442 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| G0443 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| G0444 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| G0445 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
Medicaid Practitioner — 63 pairs
| Paired Code |
Mod
Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
|
Rationale | Effective | End Date |
|---|---|---|---|---|
| 90846 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 90834 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| G0445 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 90840 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| G0444 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 90836 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| G0443 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 90832 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 96161 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| G0442 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 96160 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 90792 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| G0396 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 90839 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 99497 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 90847 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 90845 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 90833 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 90838 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 90853 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 90837 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 90791 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-10-01 | 2199-12-31 |
| 99404 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 99403 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 99402 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 99401 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 96161 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 96160 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 90887 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 90885 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 90880 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 90876 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 90875 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 90870 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 90865 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 90853 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 90837 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 90791 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 90849 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 90847 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 0593T · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 90846 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 90792 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 90834 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 90845 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 0591T · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 90840 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 90836 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 90839 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 90833 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 90838 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 0592T · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 90832 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| G0445 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| G0444 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| G0443 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| G0442 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| G0396 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 99497 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2020-01-01 |
| 99412 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 99411 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 99409 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
| 99408 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
CPT Manual or CMS manual coding instruction | 2020-01-01 | 2199-12-31 |
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