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NCCI Code Pairs — 96521

Complete listing of CMS National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edits involving HCPCS/CPT code 96521.

995 Total Edits 877 as Column 1 118 as Column 2
← View HCPCS 96521 Detail Page

Column 1 Pairs 96521 is the primary code

When 96521 is reported as the Column 1 (comprehensive) code, the paired Column 2 code is bundled and generally not separately payable.

Medicare Facility (Hospital Outpatient) — 207 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
99418 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2023-01-01 2199-12-31
99309 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99483 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-10-01 2199-12-31
99308 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99478 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99307 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99306 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99477 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99226 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2022-12-31
99305 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99480 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99304 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99476 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99291 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99203 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-10-01 2199-12-31
99285 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99284 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99283 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99472 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99282 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99281 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99471 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99475 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99316 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99225 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2022-12-31
99315 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99202 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-10-01 2199-12-31
99310 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99479 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99354 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2022-12-31
99213 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-10-01 2199-12-31
99350 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99349 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99348 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99214 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-10-01 2199-12-31
99347 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99345 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99344 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99343 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2022-12-31
99215 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-10-01 2199-12-31
99342 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99217 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2022-12-31
99341 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99218 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2022-12-31
99337 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2022-12-31
99219 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2022-12-31
99336 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2022-12-31
99220 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2022-12-31
99335 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2022-12-31
99221 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99334 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2022-12-31
99222 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99328 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2022-12-31
99223 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99327 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2022-12-31
99224 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2022-12-31
99469 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99497 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-10-01 2199-12-31
99468 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99204 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-10-01 2199-12-31
99201 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-10-01 2020-12-31
99205 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-10-01 2199-12-31
99239 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99211 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-10-01 2199-12-31
99231 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99238 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99212 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-10-01 2199-12-31
99236 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99235 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99234 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99233 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99232 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99355 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2022-12-31
99483 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2018-01-01 2019-12-31
G0505 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2017-07-01 2017-12-31
99358 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2017-07-01 2199-12-31
99359 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2017-07-01 2199-12-31
99355 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2017-01-01 2019-12-31
99354 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2017-01-01 2019-12-31
G6008 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2025-12-31
G6010 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2025-12-31
99497 · CCI
9 Not applicable — edit has been deleted or is no longer active
Misuse of Column Two code with Column One code 2015-01-01 2015-01-01
G6006 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2025-12-31
G6009 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2025-12-31
G6012 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2025-12-31
G6004 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2025-12-31
G6013 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2025-12-31
G6011 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2025-12-31
G6003 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2025-12-31
G6005 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2025-12-31
G6014 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2025-12-31
99497 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2019-12-31
G6007 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2025-12-31
G0463 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2014-07-01 2199-12-31
99485 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2013-01-01 2199-12-31
99224 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2011-01-01 2019-12-31
99225 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2011-01-01 2019-12-31
99226 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2011-01-01 2019-12-31
99242 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2009-12-31
99479 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99478 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99477 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99476 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99475 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99472 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99471 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99469 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99468 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99466 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2199-12-31
99465 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2199-12-31
99463 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2199-12-31
99462 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2199-12-31
99461 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2199-12-31
99460 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2199-12-31
99456 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2199-12-31
99455 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2199-12-31
99350 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99349 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99348 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99347 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99345 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99344 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99343 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99342 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99341 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99337 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99336 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99335 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99334 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99328 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99327 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99326 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2022-12-31
99325 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2022-12-31
99324 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2022-12-31
99318 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2022-12-31
99316 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99315 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99310 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99309 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99308 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99307 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99306 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99305 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99304 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99291 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99285 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99284 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99283 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99282 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99281 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99255 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2009-12-31
99254 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2009-12-31
99253 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2009-12-31
99252 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2009-12-31
99251 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2009-12-31
99245 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2009-12-31
99244 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2009-12-31
99243 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2009-12-31
99241 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2009-12-31
99239 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99238 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99236 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99235 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99234 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99233 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99232 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99231 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99223 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99222 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99221 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99220 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99219 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99218 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99217 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99215 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2009-01-01 2019-12-31
99214 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2009-01-01 2019-12-31
99213 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2009-01-01 2019-12-31
99212 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2009-01-01 2019-12-31
99211 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2009-01-01 2019-12-31
99205 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2009-01-01 2019-12-31
99204 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2009-01-01 2019-12-31
99203 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2009-01-01 2019-12-31
99202 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2009-01-01 2019-12-31
99480 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99201 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2009-01-01 2019-12-31
G0380 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2008-10-01 2199-12-31
G0382 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2008-10-01 2199-12-31
G0384 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2008-10-01 2199-12-31
G0381 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2008-10-01 2199-12-31
G0383 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2008-10-01 2199-12-31
77404 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2014-12-31
77403 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2014-12-31
99185 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2009-12-31
77402 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2199-12-31
77401 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2025-12-31
96523 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2006-01-01 2199-12-31
77422 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2017-12-31
77416 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2014-12-31
77423 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2199-12-31
77407 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2199-12-31
77406 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2014-12-31
77414 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2014-12-31
77413 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2014-12-31
77412 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2199-12-31
77411 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2014-12-31
77409 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2014-12-31
77408 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2014-12-31
Medicare Practitioner — 238 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
99418 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2023-01-01 2199-12-31
99218 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2022-12-31
G0509 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-10-01 2199-12-31
G0508 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-10-01 2199-12-31
G0427 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-10-01 2199-12-31
G0426 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-10-01 2199-12-31
G0425 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-10-01 2199-12-31
G0408 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-10-01 2199-12-31
G0407 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-10-01 2199-12-31
G0406 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-10-01 2199-12-31
99497 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-10-01 2199-12-31
99483 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-10-01 2199-12-31
99480 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99479 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99478 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99477 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99476 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99475 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99472 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99471 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99469 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99468 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99355 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2022-12-31
99354 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2022-12-31
99350 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99349 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99348 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99347 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99345 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99344 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99343 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2022-12-31
99342 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99341 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99337 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2022-12-31
99336 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2022-12-31
99335 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2022-12-31
99334 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2022-12-31
99328 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2022-12-31
99327 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2022-12-31
99316 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99201 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-10-01 2020-12-31
99202 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-10-01 2199-12-31
99203 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-10-01 2199-12-31
99204 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-10-01 2199-12-31
99205 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-10-01 2199-12-31
99211 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-10-01 2199-12-31
99212 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-10-01 2199-12-31
99213 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-10-01 2199-12-31
99214 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-10-01 2199-12-31
99215 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-10-01 2199-12-31
99217 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2022-12-31
99315 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99219 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2022-12-31
99220 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2022-12-31
99221 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99222 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99223 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99224 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2022-12-31
99225 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2022-12-31
99226 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2022-12-31
99231 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99232 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99233 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99234 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99235 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99236 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99238 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99239 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99281 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99282 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99283 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99284 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99285 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99291 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99304 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99305 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99306 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99307 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99308 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99309 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99310 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99483 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2018-01-01 2019-12-31
99359 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2017-07-01 2199-12-31
G0505 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2017-07-01 2017-12-31
G0509 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2017-07-01 2019-12-31
G0508 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2017-07-01 2019-12-31
99358 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2017-07-01 2199-12-31
99354 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2017-01-01 2019-12-31
99355 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2017-01-01 2019-12-31
99497 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-01-01 2019-12-31
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
G6003 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2025-12-31
G6005 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2025-12-31
G6006 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2025-12-31
G6007 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2025-12-31
99497 · CCI
9 Not applicable — edit has been deleted or is no longer active
Misuse of Column Two code with Column One code 2015-01-01 2015-01-01
G6014 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2025-12-31
G6013 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2025-12-31
G6012 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2025-12-31
G6011 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2025-12-31
G6010 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2025-12-31
G6009 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2025-12-31
G6008 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2025-12-31
G6004 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2025-12-31
G0463 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2014-07-01 2199-12-31
99485 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2013-01-01 2199-12-31
99226 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2011-01-01 2019-12-31
99225 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2011-01-01 2019-12-31
99224 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2011-01-01 2019-12-31
G0427 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-07-01 2019-12-31
G0426 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-07-01 2019-12-31
G0425 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-07-01 2019-12-31
G0408 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-07-01 2019-12-31
G0407 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-07-01 2019-12-31
G0406 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-07-01 2019-12-31
99472 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99475 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99476 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99465 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2199-12-31
99463 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2199-12-31
99462 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2199-12-31
99461 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2199-12-31
99460 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2199-12-31
99480 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99478 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99479 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99471 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99469 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99468 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2019-12-31
99466 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2199-12-31
G0381 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2008-10-01 2199-12-31
G0380 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2008-10-01 2199-12-31
G0383 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2008-10-01 2199-12-31
G0384 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2008-10-01 2199-12-31
G0382 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2008-10-01 2199-12-31
99477 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2008-01-01 2019-12-31
99324 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2022-12-31
77401 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2025-12-31
77402 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2199-12-31
77403 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2014-12-31
77404 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2014-12-31
77406 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2014-12-31
77407 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2199-12-31
77408 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2014-12-31
77409 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2014-12-31
77411 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2014-12-31
77412 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2199-12-31
77413 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2014-12-31
77414 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2014-12-31
77416 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2014-12-31
77422 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2017-12-31
77423 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2199-12-31
96523 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2006-01-01 2199-12-31
99185 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2009-12-31
99244 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2009-12-31
99201 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2006-01-01 2019-12-31
99245 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2009-12-31
99202 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2006-01-01 2019-12-31
99251 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2009-12-31
99203 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2006-01-01 2019-12-31
99252 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2009-12-31
99204 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2006-01-01 2019-12-31
99253 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2009-12-31
99205 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2006-01-01 2019-12-31
99254 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2009-12-31
99211 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2006-01-01 2019-12-31
99255 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2009-12-31
99212 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2006-01-01 2019-12-31
99304 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2019-12-31
99213 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2006-01-01 2019-12-31
99281 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2019-12-31
99214 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2006-01-01 2019-12-31
99309 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2006-01-01 2019-12-31
99215 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2006-01-01 2019-12-31
99282 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2019-12-31
99217 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2019-12-31
99305 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2019-12-31
99218 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2019-12-31
99283 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2019-12-31
99219 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2019-12-31
99308 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2006-01-01 2019-12-31
99220 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2019-12-31
99284 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2019-12-31
99221 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2019-12-31
99306 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2019-12-31
99222 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2019-12-31
99285 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2019-12-31
99223 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2019-12-31
99289 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2008-12-31
99310 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2006-01-01 2019-12-31
99291 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2019-12-31
99293 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2008-12-31
99231 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2006-01-01 2019-12-31
99294 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2008-12-31
99232 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2006-01-01 2019-12-31
99295 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2008-12-31
99233 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2006-01-01 2019-12-31
99296 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2008-12-31
99234 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2019-12-31
99298 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2008-12-31
99235 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2019-12-31
99299 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2008-12-31
99236 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2019-12-31
99300 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2008-12-31
99238 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2019-12-31
99307 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2006-01-01 2019-12-31
99239 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2019-12-31
99241 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2009-12-31
99242 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2009-12-31
99243 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2009-12-31
99315 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2019-12-31
99316 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2019-12-31
99318 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2022-12-31
99325 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2022-12-31
99326 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2022-12-31
99327 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2019-12-31
99328 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2019-12-31
99334 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2019-12-31
99335 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2019-12-31
99336 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2019-12-31
99337 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2019-12-31
99341 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2019-12-31
99342 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2019-12-31
99343 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2019-12-31
99344 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2019-12-31
99345 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2019-12-31
99347 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2019-12-31
99348 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2019-12-31
99349 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2019-12-31
99350 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2019-12-31
99431 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2008-12-31
99432 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2008-12-31
99433 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2008-12-31
99435 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2008-12-31
99440 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2008-12-31
99455 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2199-12-31
99456 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2199-12-31
Medicaid Facility — 207 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
99418 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2023-01-01 2199-12-31
99226 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2022-12-31
99231 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99232 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99233 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99234 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99235 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99236 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99238 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99239 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99222 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99221 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99220 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2022-12-31
99204 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-10-01 2199-12-31
99223 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99224 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2022-12-31
99225 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2022-12-31
99316 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99327 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2022-12-31
99328 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2022-12-31
99334 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2022-12-31
99335 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2022-12-31
99336 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2022-12-31
99337 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2022-12-31
99341 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99342 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99343 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2022-12-31
99344 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99345 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99347 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99348 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99349 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99350 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99354 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2022-12-31
99355 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2022-12-31
99468 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99469 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99471 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99472 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99475 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99476 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99477 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99478 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99479 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99480 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99483 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-10-01 2199-12-31
99497 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-10-01 2199-12-31
99219 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2022-12-31
99203 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-10-01 2199-12-31
99218 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2022-12-31
99214 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-10-01 2199-12-31
99217 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2022-12-31
99213 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-10-01 2199-12-31
99212 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-10-01 2199-12-31
99205 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-10-01 2199-12-31
99202 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-10-01 2199-12-31
99201 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-10-01 2020-12-31
99215 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-10-01 2199-12-31
99281 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99282 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99283 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99284 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99285 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99291 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99292 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99304 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99305 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99306 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99307 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99308 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99309 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99310 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99315 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99483 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2018-01-01 2019-12-31
99359 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2017-07-01 2199-12-31
G0505 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2017-07-01 2017-12-31
99358 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2017-07-01 2199-12-31
99354 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2017-01-01 2019-12-31
99355 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2017-01-01 2019-12-31
99292 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-07-01 2019-12-31
99486 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-07-01 2199-12-31
99467 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-07-01 2199-12-31
G6012 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2025-12-31
G6013 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2025-12-31
G6014 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2025-12-31
99497 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2019-12-31
G6003 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2025-12-31
G6004 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2025-12-31
G6005 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2025-12-31
G6006 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2025-12-31
G6007 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2025-12-31
G6008 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2025-12-31
G6009 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2025-12-31
G6010 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2025-12-31
G6011 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2025-12-31
G0463 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2014-07-01 2199-12-31
99485 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2013-01-01 2199-12-31
99244 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2012-01-01 2199-12-31
99255 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2012-01-01 2199-12-31
99243 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2012-01-01 2199-12-31
99242 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2012-01-01 2199-12-31
99253 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2012-01-01 2199-12-31
99241 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2012-01-01 2022-12-31
99251 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2012-01-01 2022-12-31
99252 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2012-01-01 2199-12-31
99245 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2012-01-01 2199-12-31
99254 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2012-01-01 2199-12-31
99225 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2011-01-01 2019-12-31
99226 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2011-01-01 2019-12-31
99224 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2011-01-01 2019-12-31
99304 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
77401 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2025-12-31
77402 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
77403 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2014-12-31
77404 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2014-12-31
77406 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2014-12-31
77407 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
77408 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2014-12-31
77409 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2014-12-31
77411 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2014-12-31
77412 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
77413 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2014-12-31
77414 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2014-12-31
77416 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2014-12-31
77422 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2017-12-31
77423 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
96523 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2010-10-01 2199-12-31
99201 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2019-12-31
99202 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2019-12-31
99203 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2019-12-31
99204 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2019-12-31
99205 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2019-12-31
99212 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2019-12-31
99213 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2019-12-31
99214 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2019-12-31
99215 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2019-12-31
99217 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99218 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99219 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99220 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99221 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99222 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99223 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99231 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99232 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99233 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99234 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99235 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99236 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99238 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99239 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99281 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99282 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99283 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99284 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99285 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99291 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99305 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99306 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99307 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99308 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99309 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99310 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99315 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99316 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99318 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2022-12-31
99324 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2022-12-31
99325 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2022-12-31
99326 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2022-12-31
99327 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99328 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99334 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99335 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99336 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99337 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99341 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99342 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99343 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99344 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99345 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99347 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99348 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99349 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99350 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99455 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
99456 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
99460 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
99461 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
99462 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
99463 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
99465 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
99466 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
99468 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99469 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99471 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99472 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99475 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99476 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99477 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99478 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99479 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99480 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
G0380 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
G0381 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
G0382 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
G0383 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
G0384 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
Medicaid Practitioner — 225 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
99418 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2023-01-01 2199-12-31
99308 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99334 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2022-12-31
99307 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99335 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2022-12-31
99306 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99336 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2022-12-31
99305 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99337 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2022-12-31
99341 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99219 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2022-12-31
99342 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99343 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2022-12-31
99218 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2022-12-31
99344 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99345 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99347 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99348 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99349 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99304 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99350 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99354 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2022-12-31
99355 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2020-10-01 2022-12-31
99217 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2022-12-31
99468 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99469 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99471 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99215 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-10-01 2199-12-31
99472 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99475 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99476 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99214 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-10-01 2199-12-31
99477 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99478 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99479 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99213 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-10-01 2199-12-31
99480 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99483 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-10-01 2199-12-31
99212 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-10-01 2199-12-31
99497 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-10-01 2199-12-31
99292 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99205 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-10-01 2199-12-31
G0406 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-10-01 2199-12-31
99291 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
G0407 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-10-01 2199-12-31
G0408 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-10-01 2199-12-31
99285 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99204 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-10-01 2199-12-31
G0425 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-10-01 2199-12-31
G0426 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-10-01 2199-12-31
99284 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
G0427 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-10-01 2199-12-31
G0508 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-10-01 2199-12-31
G0509 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-10-01 2199-12-31
99283 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99203 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-10-01 2199-12-31
99238 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99315 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99316 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99310 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99327 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2022-12-31
99309 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99328 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2022-12-31
99239 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99220 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2022-12-31
99282 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99202 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-10-01 2199-12-31
99221 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99222 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99281 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99201 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-10-01 2020-12-31
99223 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99224 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2022-12-31
99225 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2022-12-31
99226 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2022-12-31
99231 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99232 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99233 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99234 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99235 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99236 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
99483 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2018-01-01 2019-12-31
G0505 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2017-07-01 2017-12-31
G0509 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2017-07-01 2019-12-31
G0508 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2017-07-01 2019-12-31
99359 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2017-07-01 2199-12-31
99358 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2017-07-01 2199-12-31
99355 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2017-01-01 2019-12-31
99354 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2017-01-01 2019-12-31
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
99292 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-07-01 2019-12-31
99467 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-07-01 2199-12-31
99486 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-07-01 2199-12-31
G6003 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2025-12-31
G6014 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2025-12-31
G6005 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2025-12-31
G6013 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2025-12-31
G6012 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2025-12-31
G6011 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2025-12-31
G6010 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2025-12-31
G6009 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2025-12-31
G6008 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2025-12-31
G6007 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2025-12-31
99497 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2019-12-31
G6006 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2025-12-31
G6004 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2015-01-01 2025-12-31
G0463 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2014-07-01 2199-12-31
99485 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2013-01-01 2199-12-31
99244 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2012-01-01 2199-12-31
99242 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2012-01-01 2199-12-31
99241 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2012-01-01 2022-12-31
99243 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2012-01-01 2199-12-31
99252 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2012-01-01 2199-12-31
99245 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2012-01-01 2199-12-31
99253 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2012-01-01 2199-12-31
99255 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2012-01-01 2199-12-31
99251 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2012-01-01 2022-12-31
99254 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2012-01-01 2199-12-31
99225 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2011-01-01 2019-12-31
99224 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2011-01-01 2019-12-31
99226 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2011-01-01 2019-12-31
99283 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99315 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
G0427 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2019-12-31
99203 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2019-12-31
G0426 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2019-12-31
G0425 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2019-12-31
99284 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
G0408 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2019-12-31
99285 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
G0407 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2019-12-31
99204 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2019-12-31
G0406 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2019-12-31
99291 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
G0384 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
G0383 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
G0382 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
G0381 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
G0380 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
99205 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2019-12-31
99212 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2019-12-31
99480 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99479 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99478 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99213 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2019-12-31
99477 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99476 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
77401 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2025-12-31
99475 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99214 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2019-12-31
99472 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
77402 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
99471 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
77403 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2014-12-31
99469 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99468 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99215 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2019-12-31
99466 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
99465 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
99463 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
99462 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
99461 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
99460 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
99456 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
99455 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
99316 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99310 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2010-10-01 2019-12-31
77404 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2014-12-31
99217 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99350 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99349 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
77406 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2014-12-31
99348 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99304 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99347 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99345 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
77407 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
99344 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99343 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
77408 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2014-12-31
99342 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99341 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
77409 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2014-12-31
99337 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99219 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99336 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99305 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99335 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99306 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99334 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99307 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2010-10-01 2019-12-31
99328 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99308 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2010-10-01 2019-12-31
99327 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99309 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2010-10-01 2019-12-31
99326 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2022-12-31
99239 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99218 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99238 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99236 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99235 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
77422 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2017-12-31
99234 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99233 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2010-10-01 2019-12-31
99232 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2010-10-01 2019-12-31
99231 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2010-10-01 2019-12-31
77423 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
77416 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2014-12-31
77414 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2014-12-31
96523 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2010-10-01 2199-12-31
77413 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2014-12-31
99223 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99222 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99201 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2019-12-31
99221 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
77412 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
99281 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99220 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
77411 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2014-12-31
99202 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2019-12-31
99282 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2019-12-31
99325 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2022-12-31
99324 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2022-12-31
99318 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2022-12-31

Column 2 Pairs 96521 is the bundled code

When 96521 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) — 31 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
M0224 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2025-01-01 2199-12-31
M0223 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2023-01-01 2025-03-31
M0244 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2022-07-01 2025-09-30
M0246 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2022-07-01 2025-03-31
0708T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2022-01-01 2199-12-31
0709T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2022-01-01 2199-12-31
G0498 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2017-07-01 2199-12-31
96446 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2011-01-01 2199-12-31
96405 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2006-01-01 2199-12-31
96402 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2006-01-01 2199-12-31
96401 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2006-01-01 2199-12-31
96450 · 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
96445 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2006-01-01 2010-12-31
62365 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2199-12-31
96440 · 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
96425 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2006-01-01 2199-12-31
96423 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2006-01-01 2199-12-31
96422 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2006-01-01 2199-12-31
96420 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2006-01-01 2199-12-31
96416 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2006-01-01 2199-12-31
62350 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2006-01-01 2199-12-31
96413 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2006-01-01 2199-12-31
96542 · 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
C8953 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2006-01-01 2006-12-31
96409 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2006-01-01 2199-12-31
C8954 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2006-01-01 2006-12-31
C8956 · CCI
9 Not applicable — edit has been deleted or is no longer active
Mutually exclusive procedures 2006-01-01 2006-01-01
C8957 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2006-01-01 2199-12-31
36260 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2199-12-31
36261 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2199-12-31
96406 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2006-01-01 2199-12-31
Medicare Practitioner — 27 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
M0224 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2025-01-01 2199-12-31
M0223 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2023-01-01 2025-03-31
M0244 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2022-07-01 2025-09-30
M0246 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2022-07-01 2025-03-31
G0498 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2017-07-01 2199-12-31
96446 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2011-01-01 2199-12-31
96542 · 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
C8953 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2006-01-01 2006-12-31
C8954 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2006-01-01 2006-12-31
C8956 · CCI
9 Not applicable — edit has been deleted or is no longer active
Mutually exclusive procedures 2006-01-01 2006-01-01
C8957 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2006-01-01 2199-12-31
62350 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2006-01-01 2199-12-31
62365 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2006-01-01 2199-12-31
96401 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2006-01-01 2199-12-31
96402 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2006-01-01 2199-12-31
96405 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2006-01-01 2199-12-31
96406 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2006-01-01 2199-12-31
96409 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2006-01-01 2199-12-31
96413 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2006-01-01 2199-12-31
96416 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2006-01-01 2199-12-31
96420 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2006-01-01 2199-12-31
96422 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2006-01-01 2199-12-31
96423 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2006-01-01 2199-12-31
96425 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2006-01-01 2199-12-31
96440 · 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
96445 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2006-01-01 2010-12-31
96450 · 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
Medicaid Facility — 30 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
M0224 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2025-01-01 2199-12-31
M0223 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2023-01-01 2025-03-31
M0244 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2022-07-01 2025-09-30
M0246 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2022-07-01 2025-03-31
0708T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2022-01-01 2199-12-31
0709T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2022-01-01 2199-12-31
G0498 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2017-07-01 2199-12-31
96417 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2015-01-01 2199-12-31
96415 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2015-01-01 2199-12-31
96446 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2011-01-01 2199-12-31
36260 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
36261 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
62350 · 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
62365 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
96401 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2010-10-01 2199-12-31
96402 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2010-10-01 2199-12-31
96405 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2010-10-01 2199-12-31
96406 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2010-10-01 2199-12-31
96409 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2010-10-01 2199-12-31
96413 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2010-10-01 2199-12-31
96416 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2010-10-01 2199-12-31
96420 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2010-10-01 2199-12-31
96422 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2010-10-01 2199-12-31
96423 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2010-10-01 2199-12-31
96425 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2010-10-01 2199-12-31
96440 · 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
96445 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2010-10-01 2010-12-31
96450 · 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
96542 · 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
C8957 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2010-10-01 2199-12-31
Medicaid Practitioner — 30 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
M0224 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2025-01-01 2199-12-31
M0223 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2023-01-01 2025-03-31
M0244 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2022-07-01 2025-09-30
M0246 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2022-07-01 2025-03-31
0709T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2022-01-01 2199-12-31
0708T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2022-01-01 2199-12-31
G0498 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2017-07-01 2199-12-31
96415 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2015-01-01 2199-12-31
96417 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2015-01-01 2199-12-31
96446 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2011-01-01 2199-12-31
36261 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
96450 · 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
62350 · 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
62365 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
96401 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2010-10-01 2199-12-31
96402 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2010-10-01 2199-12-31
96422 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2010-10-01 2199-12-31
96425 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2010-10-01 2199-12-31
96423 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2010-10-01 2199-12-31
96420 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2010-10-01 2199-12-31
96416 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2010-10-01 2199-12-31
96440 · 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
96413 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2010-10-01 2199-12-31
96409 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2010-10-01 2199-12-31
96406 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2010-10-01 2199-12-31
36260 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31
96405 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2010-10-01 2199-12-31
C8957 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2010-10-01 2199-12-31
96542 · 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
96445 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Manual or CMS manual coding instruction 2010-10-01 2010-12-31

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