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NCCI Code Pairs — 97034

Complete listing of CMS National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edits involving HCPCS/CPT code 97034.

404 Total Edits 388 as Column 1 16 as Column 2
← View HCPCS 97034 Detail Page

Column 1 Pairs 97034 is the primary code

When 97034 is reported as the Column 1 (comprehensive) code, the paired Column 2 code is bundled and generally not separately payable.

Medicare Facility (Hospital Outpatient) — 80 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
64468 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2025-07-01 2199-12-31
64469 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2025-07-01 2199-12-31
64474 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2025-07-01 2199-12-31
64473 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2025-04-01 2199-12-31
97168 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
97164 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
64451 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2199-12-31
64454 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2199-12-31
62325 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2017-01-01 2199-12-31
62327 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2017-01-01 2199-12-31
62320 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2017-01-01 2199-12-31
62321 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2017-01-01 2199-12-31
97168 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2017-01-01 2019-12-31
97164 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2017-01-01 2019-12-31
62322 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2017-01-01 2199-12-31
62323 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2017-01-01 2199-12-31
62324 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2017-01-01 2199-12-31
62326 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2017-01-01 2199-12-31
64463 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-01-01 2199-12-31
64461 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-01-01 2199-12-31
64489 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
64488 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
64487 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
64486 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
0230T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2020-12-31
0231T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2020-12-31
0228T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2020-12-31
0229T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2020-12-31
0216T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-07-01 2199-12-31
0213T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-07-01 2199-12-31
64493 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-01-01 2199-12-31
64490 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-01-01 2199-12-31
64517 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2004-01-01 2199-12-31
64449 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2004-01-01 2199-12-31
62311 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2016-12-31
62319 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2016-12-31
64530 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2199-12-31
64520 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2199-12-31
64510 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2199-12-31
64508 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2018-12-31
64505 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2199-12-31
64484 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2199-12-31
64483 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2199-12-31
64480 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2199-12-31
64479 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2199-12-31
64476 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2009-12-31
64475 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2009-12-31
64472 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2009-12-31
64470 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2009-12-31
64435 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2199-12-31
64430 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2199-12-31
64425 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2199-12-31
64421 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2199-12-31
64420 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2199-12-31
64418 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2199-12-31
64417 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2199-12-31
64416 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2199-12-31
64415 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2199-12-31
64413 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2019-12-31
64412 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2015-12-31
64410 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2019-12-31
64408 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2199-12-31
64405 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2199-12-31
64402 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2019-12-31
64400 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2199-12-31
62310 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2016-12-31
62318 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2016-12-31
64450 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2199-12-31
64448 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2199-12-31
64447 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2199-12-31
64446 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2199-12-31
64445 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2199-12-31
97004 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2000-10-01 2016-12-31
97002 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2000-10-01 2016-12-31
97026 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
More extensive procedure 1997-01-01 2004-12-31
97018 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
More extensive procedure 1997-01-01 2004-12-31
97022 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
More extensive procedure 1997-01-01 2004-12-31
97024 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
More extensive procedure 1997-01-01 2004-12-31
97010 · CCI
9 Not applicable — edit has been deleted or is no longer active
More extensive procedure 1997-01-01 1997-01-01
97020 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
More extensive procedure 1997-01-01 2004-12-31
Medicare Practitioner — 149 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
64468 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2025-07-01 2199-12-31
64474 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2025-07-01 2199-12-31
64469 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2025-07-01 2199-12-31
64473 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2025-04-01 2199-12-31
97168 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
97164 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
64451 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2199-12-31
64454 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2199-12-31
96523 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2019-04-01 2199-12-31
62322 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2017-01-01 2199-12-31
62320 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2017-01-01 2199-12-31
62321 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2017-01-01 2199-12-31
62323 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2017-01-01 2199-12-31
62324 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2017-01-01 2199-12-31
62325 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2017-01-01 2199-12-31
62326 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2017-01-01 2199-12-31
62327 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2017-01-01 2199-12-31
97168 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2017-01-01 2019-12-31
97164 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2017-01-01 2019-12-31
64461 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-01-01 2199-12-31
64463 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-01-01 2199-12-31
36591 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2015-10-01 2199-12-31
36592 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2015-10-01 2199-12-31
64486 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
64488 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
64489 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
64487 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
0230T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2020-12-31
0228T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2020-12-31
0229T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2020-12-31
0231T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2020-12-31
0216T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-07-01 2199-12-31
0213T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-07-01 2199-12-31
64493 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-01-01 2199-12-31
64490 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-01-01 2199-12-31
64449 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2004-01-01 2199-12-31
64517 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2004-01-01 2199-12-31
64425 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2199-12-31
64421 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2199-12-31
64420 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2199-12-31
64435 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2199-12-31
64417 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2199-12-31
64416 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2199-12-31
64415 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2199-12-31
64413 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2019-12-31
64412 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2015-12-31
64410 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2019-12-31
64408 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2199-12-31
64405 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2199-12-31
64402 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2019-12-31
64400 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2199-12-31
62319 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2016-12-31
62318 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2016-12-31
62311 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2016-12-31
62310 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2016-12-31
64418 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2199-12-31
64445 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2199-12-31
64446 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2199-12-31
64447 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2199-12-31
64448 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2199-12-31
64450 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2199-12-31
64470 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2009-12-31
64472 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2009-12-31
64475 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2009-12-31
64476 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2009-12-31
64479 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2199-12-31
64480 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2199-12-31
64483 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2199-12-31
64484 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2199-12-31
64505 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2199-12-31
64508 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2018-12-31
64510 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2199-12-31
64520 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2199-12-31
64530 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2199-12-31
64430 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2199-12-31
99244 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99357 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99356 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99355 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99354 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99350 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99349 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99348 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99347 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99345 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99344 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99343 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99342 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99341 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99333 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99332 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99331 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99323 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99322 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99321 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99313 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99312 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99311 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99303 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99302 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99301 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99292 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99291 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99275 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99274 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99273 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99272 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99271 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99263 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99262 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99261 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99255 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99254 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99253 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99252 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99251 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99201 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99202 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99203 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99204 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99205 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99211 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99212 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99213 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99214 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99215 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99221 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99222 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99223 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99231 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99232 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99233 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99234 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99235 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99236 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99238 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99239 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99241 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99242 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99243 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
99245 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2000-10-30 2000-10-30
97004 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2000-10-01 2016-12-31
97002 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2000-10-01 2016-12-31
97026 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
More extensive procedure 1997-01-01 2004-12-31
97022 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
More extensive procedure 1997-01-01 2004-12-31
97024 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
More extensive procedure 1997-01-01 2004-12-31
97010 · CCI
9 Not applicable — edit has been deleted or is no longer active
More extensive procedure 1997-01-01 1997-01-01
97018 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
More extensive procedure 1997-01-01 2004-12-31
97020 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
More extensive procedure 1997-01-01 2004-12-31
Medicaid Facility — 78 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
64468 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2025-07-01 2199-12-31
64469 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2025-07-01 2199-12-31
64474 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2025-07-01 2199-12-31
64473 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2025-04-01 2199-12-31
97168 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
97164 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
64451 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2199-12-31
64454 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2199-12-31
62324 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2017-01-01 2199-12-31
62322 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2017-01-01 2199-12-31
62321 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2017-01-01 2199-12-31
62320 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2017-01-01 2199-12-31
97164 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2017-01-01 2019-12-31
97168 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2017-01-01 2019-12-31
62327 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2017-01-01 2199-12-31
62326 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2017-01-01 2199-12-31
62325 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2017-01-01 2199-12-31
62323 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2017-01-01 2199-12-31
64463 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-01-01 2199-12-31
64461 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-01-01 2199-12-31
0215T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-10-01 2199-12-31
0214T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-10-01 2199-12-31
0217T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-10-01 2199-12-31
0218T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-10-01 2199-12-31
64494 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-07-01 2199-12-31
64492 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-07-01 2199-12-31
64491 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-07-01 2199-12-31
64495 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-07-01 2199-12-31
64487 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
64486 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
64488 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
64489 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
0231T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2011-01-01 2020-12-31
0228T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2011-01-01 2020-12-31
0229T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2011-01-01 2020-12-31
0230T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2011-01-01 2020-12-31
64421 · 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
0213T · 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
0216T · 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
62310 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2016-12-31
62311 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2016-12-31
62318 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2016-12-31
62319 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2016-12-31
64400 · 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
64402 · 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
64405 · 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
64408 · 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
64410 · 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
64412 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2015-12-31
64413 · 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
64415 · 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
64416 · 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
64417 · 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
64418 · 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
64420 · 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
64425 · 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
64430 · 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
64435 · 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
64445 · 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
64446 · 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
64447 · 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
64448 · 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
64449 · 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
64450 · 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
64479 · 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
64480 · 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
64483 · 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
64484 · 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
64490 · 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
64493 · 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
64505 · 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
64508 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2018-12-31
64510 · 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
64517 · 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
64520 · 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
64530 · 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
97002 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2016-12-31
97004 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2016-12-31
Medicaid Practitioner — 81 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
64474 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2025-07-01 2199-12-31
64468 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2025-07-01 2199-12-31
64469 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2025-07-01 2199-12-31
64473 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2025-04-01 2199-12-31
97164 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
97168 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
64451 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2199-12-31
64454 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2020-01-01 2199-12-31
96523 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2019-04-01 2199-12-31
97168 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2017-01-01 2019-12-31
62321 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2017-01-01 2199-12-31
62323 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2017-01-01 2199-12-31
62326 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2017-01-01 2199-12-31
62327 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2017-01-01 2199-12-31
97164 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2017-01-01 2019-12-31
62320 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2017-01-01 2199-12-31
62324 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2017-01-01 2199-12-31
62325 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2017-01-01 2199-12-31
62322 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2017-01-01 2199-12-31
64461 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-01-01 2199-12-31
64463 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2016-01-01 2199-12-31
0218T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-10-01 2199-12-31
0215T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-10-01 2199-12-31
0214T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-10-01 2199-12-31
0217T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 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
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
64492 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-07-01 2199-12-31
64491 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-07-01 2199-12-31
64495 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-07-01 2199-12-31
64494 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-07-01 2199-12-31
64486 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
64489 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
64487 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
64488 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2199-12-31
0229T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2011-01-01 2020-12-31
0231T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2011-01-01 2020-12-31
0230T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2011-01-01 2020-12-31
0228T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2011-01-01 2020-12-31
64447 · 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
64445 · 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
64435 · 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
64400 · 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
64430 · 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
64425 · 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
64421 · 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
64420 · 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
64418 · 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
64417 · 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
64416 · 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
64415 · 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
64413 · 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
64412 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2015-12-31
64410 · 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
64408 · 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
64405 · 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
64402 · 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
0216T · 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
62319 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2016-12-31
62318 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2016-12-31
62311 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2016-12-31
0213T · 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
62310 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2016-12-31
97004 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2016-12-31
97002 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2016-12-31
64530 · 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
64520 · 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
64517 · 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
64510 · 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
64508 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2018-12-31
64505 · 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
64493 · 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
64490 · 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
64484 · 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
64483 · 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
64480 · 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
64479 · 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
64450 · 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
64449 · 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
64448 · 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
64446 · 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

Column 2 Pairs 97034 is the bundled code

When 97034 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) — 3 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
G0157 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2011-07-01 2199-12-31
G0159 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2011-07-01 2199-12-31
G0151 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2001-07-01 2199-12-31
Medicare Practitioner — 3 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
G0157 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2011-07-01 2199-12-31
G0159 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2011-07-01 2199-12-31
G0151 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2001-07-01 2199-12-31
Medicaid Facility — 5 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
S9131 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2013-04-01 2199-12-31
S8990 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2013-04-01 2199-12-31
G0157 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2011-07-01 2199-12-31
G0159 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2011-07-01 2199-12-31
G0151 · 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 — 5 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
S9131 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2013-04-01 2199-12-31
S8990 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2013-04-01 2199-12-31
G0157 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2011-07-01 2199-12-31
G0159 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2011-07-01 2199-12-31
G0151 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2199-12-31

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