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NCCI Code Pairs — 97171

Complete listing of CMS National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edits involving HCPCS/CPT code 97171.

825 Total Edits 32 as Column 1 793 as Column 2
← View HCPCS 97171 Detail Page

Column 1 Pairs 97171 is the primary code

When 97171 is reported as the Column 1 (comprehensive) code, the paired Column 2 code is bundled and generally not separately payable.

Medicare Facility (Hospital Outpatient) — 7 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
95851 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Separate procedure definition 2020-01-01 2199-12-31
95852 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Separate procedure definition 2020-01-01 2199-12-31
97140 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
97172 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Mutually exclusive procedures 2017-01-01 2199-12-31
97170 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2017-01-01 2199-12-31
97169 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2017-01-01 2199-12-31
96523 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2017-01-01 2199-12-31
Medicare Practitioner — 9 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
95851 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Separate procedure definition 2020-01-01 2199-12-31
95852 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Separate procedure definition 2020-01-01 2199-12-31
97140 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
36591 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2017-01-01 2199-12-31
36592 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2017-01-01 2199-12-31
97169 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2017-01-01 2199-12-31
97170 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2017-01-01 2199-12-31
96523 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2017-01-01 2199-12-31
97172 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Mutually exclusive procedures 2017-01-01 2199-12-31
Medicaid Facility — 7 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
95851 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Separate procedure definition 2020-01-01 2199-12-31
95852 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Separate procedure definition 2020-01-01 2199-12-31
97140 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
97172 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Mutually exclusive procedures 2017-01-01 2199-12-31
96523 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2017-01-01 2199-12-31
97169 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2017-01-01 2199-12-31
97170 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2017-01-01 2199-12-31
Medicaid Practitioner — 9 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
95852 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Separate procedure definition 2020-01-01 2199-12-31
95851 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Separate procedure definition 2020-01-01 2199-12-31
97140 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 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 2017-01-01 2199-12-31
97169 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2017-01-01 2199-12-31
36592 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2017-01-01 2199-12-31
97170 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2017-01-01 2199-12-31
97172 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Mutually exclusive procedures 2017-01-01 2199-12-31
36591 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2017-01-01 2199-12-31

Column 2 Pairs 97171 is the bundled code

When 97171 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) — 191 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
99212 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
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
G0439 · 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
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99218 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2022-12-31
99316 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
G0438 · 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
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99349 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99315 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
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
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
99348 · 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
99472 · 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
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99347 · 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
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
99345 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99306 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99215 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99344 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
97750 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2020-10-01 2199-12-31
99305 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99343 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2022-12-31
99219 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2022-12-31
99342 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99304 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99220 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2022-12-31
99341 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99468 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99292 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99497 · 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
99337 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2022-12-31
99221 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99291 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99336 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2022-12-31
99201 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2020-12-31
99469 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99285 · 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
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
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2022-12-31
99284 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99202 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99283 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99222 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99282 · 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
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2022-12-31
99281 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
G0445 · 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
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99239 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99480 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
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
99328 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2022-12-31
99238 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
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
G0444 · 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
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99236 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99478 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99223 · 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
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2022-12-31
99235 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99477 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
G0443 · 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
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
0 Modifier not allowed — codes cannot be reported together under any circumstances
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
99350 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99211 · 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
99475 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
G0442 · 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
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2022-12-31
99485 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
99285 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99483 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99284 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99283 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99282 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99281 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99239 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99480 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99238 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99479 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99236 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99478 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99235 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99477 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99234 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99476 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99233 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99475 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99232 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99472 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99304 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99218 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99463 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
99462 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
99217 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99461 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
99460 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
99215 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99350 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99214 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99349 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
0591T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
0592T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
0593T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
96020 · 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
97150 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Separate procedure definition 2020-01-01 2020-01-01
97530 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Separate procedure definition 2020-01-01 2020-01-01
97750 · CCI
9 Not applicable — edit has been deleted or is no longer active
More extensive procedure 2020-01-01 2020-01-01
98940 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-01-01 2199-12-31
98941 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-01-01 2199-12-31
98942 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-01-01 2199-12-31
99201 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99202 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99203 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99204 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99205 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99211 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99212 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99213 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99348 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99347 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99345 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99344 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99343 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99342 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99341 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99337 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99336 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99335 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
G0463 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
G0445 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99334 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99328 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
G0444 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99327 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
G0443 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99326 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2022-12-31
G0442 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99325 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2022-12-31
99324 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2022-12-31
G0439 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99318 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2022-12-31
99316 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
G0438 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99315 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
G0402 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
99310 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99309 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99308 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99307 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
G0384 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
99306 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
G0383 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
99305 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
G0382 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
G0381 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
99464 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
G0380 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
G0337 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-01-01 2199-12-31
99292 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99497 · CCI
9 Not applicable — edit has been deleted or is no longer active
Misuse of Column Two code with Column One code 2020-01-01 2020-01-01
99291 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99486 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
99471 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99224 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99223 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99222 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99469 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99221 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99468 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99220 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99467 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
99466 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
99219 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99465 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
99231 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
97166 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2017-01-01 2017-06-30
97165 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2017-01-01 2017-06-30
97162 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2017-01-01 2017-06-30
97161 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2017-01-01 2017-06-30
97168 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2017-01-01 2017-06-30
97167 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2017-01-01 2017-06-30
97164 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2017-01-01 2017-06-30
97163 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2017-01-01 2017-06-30
Medicare Practitioner — 204 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
99239 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
G0509 · 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
G0508 · 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
G0445 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
G0444 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
G0443 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
G0442 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
G0439 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
G0438 · 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
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
G0426 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
G0425 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
G0408 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
G0407 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
G0406 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99497 · 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
99483 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99480 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
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
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99477 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
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
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99468 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99350 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99349 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99348 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99347 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99345 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99344 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99343 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2022-12-31
99342 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99341 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99337 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2022-12-31
99336 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2022-12-31
99335 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2022-12-31
99334 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2022-12-31
99328 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2022-12-31
99327 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2022-12-31
99316 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99315 · 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
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
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
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
99306 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99305 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99304 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99292 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99291 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99285 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99284 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99283 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99282 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99281 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
97750 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2020-10-01 2199-12-31
99201 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2020-12-31
99202 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99203 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99204 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99205 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99211 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99212 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99213 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99214 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99215 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99217 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2022-12-31
99218 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2022-12-31
99219 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2022-12-31
99220 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2022-12-31
99221 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99222 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99223 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
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
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
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99235 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99236 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99238 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
G0463 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-01-01 2199-12-31
99342 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99343 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99344 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99345 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99347 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99348 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99349 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99350 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99460 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-01-01 2199-12-31
99461 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-01-01 2199-12-31
99462 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-01-01 2199-12-31
99463 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-01-01 2199-12-31
99464 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-01-01 2199-12-31
99465 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-01-01 2199-12-31
99466 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
99467 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
99468 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99469 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99471 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99472 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99475 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99476 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99477 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99478 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99479 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99480 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99483 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99485 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
99486 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
99497 · CCI
9 Not applicable — edit has been deleted or is no longer active
Misuse of Column Two code with Column One code 2020-01-01 2020-01-01
G0337 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-01-01 2199-12-31
G0380 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
G0381 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
G0382 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
G0383 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
G0384 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
G0402 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
G0406 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
G0407 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
G0408 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
G0425 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
G0426 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
G0427 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
G0438 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
G0439 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
G0442 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
G0443 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
G0444 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
G0445 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99341 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
G0508 · CCI
9 Not applicable — edit has been deleted or is no longer active
Misuse of Column Two code with Column One code 2020-01-01 2020-01-01
G0509 · CCI
9 Not applicable — edit has been deleted or is no longer active
Misuse of Column Two code with Column One code 2020-01-01 2020-01-01
96020 · 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
97150 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Separate procedure definition 2020-01-01 2020-01-01
97530 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Separate procedure definition 2020-01-01 2020-01-01
99219 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
97750 · CCI
9 Not applicable — edit has been deleted or is no longer active
More extensive procedure 2020-01-01 2020-01-01
98940 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-01-01 2199-12-31
98941 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-01-01 2199-12-31
98942 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-01-01 2199-12-31
99232 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99201 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99220 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99202 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99238 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99203 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99221 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99204 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99233 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99205 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99222 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99211 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99236 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99212 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99223 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99213 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99234 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99214 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99224 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99215 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99239 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99217 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99231 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99218 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99235 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99281 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99282 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99283 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99284 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99285 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99291 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99292 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99304 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99305 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99306 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99307 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99308 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99309 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99310 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99315 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99316 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99318 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-01-01 2022-12-31
99324 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-01-01 2022-12-31
99325 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-01-01 2022-12-31
99326 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-01-01 2022-12-31
99327 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99328 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99334 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99335 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99336 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99337 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
97165 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2017-01-01 2017-06-30
97166 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2017-01-01 2017-06-30
97167 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2017-01-01 2017-06-30
97168 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2017-01-01 2017-06-30
97161 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2017-01-01 2017-06-30
97162 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2017-01-01 2017-06-30
97163 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2017-01-01 2017-06-30
97164 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2017-01-01 2017-06-30
Medicaid Facility — 191 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
97750 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2020-10-01 2199-12-31
99201 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2020-12-31
99202 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99203 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99204 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99205 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99211 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99212 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99213 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99214 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99215 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99217 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2022-12-31
99218 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2022-12-31
99219 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2022-12-31
99220 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2022-12-31
99221 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99222 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99223 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
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
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
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99235 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99236 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99238 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99239 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99281 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99282 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99283 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99284 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99285 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99291 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99292 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99304 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99305 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99306 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
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
99315 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99316 · 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
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2022-12-31
99328 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2022-12-31
99334 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2022-12-31
99335 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2022-12-31
99336 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2022-12-31
99337 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2022-12-31
99341 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99342 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99343 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2022-12-31
99344 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99345 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99347 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99348 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99349 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99350 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99468 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99469 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
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
99472 · 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
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99478 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
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
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
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99497 · 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
G0438 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
G0439 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
G0442 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
G0443 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
G0444 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-10-01 2199-12-31
G0445 · 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
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
0591T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
0592T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
0593T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
96020 · 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
97150 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Separate procedure definition 2020-01-01 2020-01-01
97530 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Separate procedure definition 2020-01-01 2020-01-01
97750 · CCI
9 Not applicable — edit has been deleted or is no longer active
More extensive procedure 2020-01-01 2020-01-01
98940 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-01-01 2199-12-31
98941 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-01-01 2199-12-31
98942 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-01-01 2199-12-31
99201 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99202 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99203 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99204 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99205 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99211 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99212 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99213 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99214 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99215 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99217 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99218 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99219 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99220 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99221 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99222 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99223 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99224 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99231 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99232 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99233 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99234 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99235 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99236 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99238 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99239 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99281 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99282 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99283 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99284 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99285 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99291 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99292 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99304 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99305 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99307 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99308 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99309 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99310 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99315 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99316 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99318 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2022-12-31
99324 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2022-12-31
99325 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2022-12-31
99326 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2022-12-31
99327 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99328 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99334 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99335 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99336 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99337 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99341 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99342 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99343 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99344 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99345 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99347 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99348 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99349 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99350 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99460 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
99461 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
99462 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
99463 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
99464 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
99465 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
99466 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
99467 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
99468 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99469 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99471 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99472 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99475 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99476 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99477 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99478 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99479 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99480 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99483 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99485 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
99486 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
99497 · CCI
9 Not applicable — edit has been deleted or is no longer active
Misuse of Column Two code with Column One code 2020-01-01 2020-01-01
G0337 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-01-01 2199-12-31
G0380 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
G0381 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
G0382 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
G0383 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
G0384 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
G0402 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
G0438 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
G0439 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
G0442 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
G0443 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
G0444 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
G0445 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
G0463 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
97166 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2017-01-01 2017-06-30
97163 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2017-01-01 2017-06-30
97167 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2017-01-01 2017-06-30
97164 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2017-01-01 2017-06-30
97162 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2017-01-01 2017-06-30
97165 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2017-01-01 2017-06-30
97168 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2017-01-01 2017-06-30
97161 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2017-01-01 2017-06-30
Medicaid Practitioner — 207 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
99215 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99283 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99239 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
G0509 · 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
99304 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
G0508 · 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
99282 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99211 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
G0445 · 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
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
G0444 · 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
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
G0443 · 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
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
G0442 · 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
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
G0439 · 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
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
G0438 · 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
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
G0427 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99306 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
G0426 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99316 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
G0425 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99235 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
G0408 · 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
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2022-12-31
G0407 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99214 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
G0406 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99291 · 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
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
0 Modifier not allowed — codes cannot be reported together under any circumstances
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
99205 · 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
99334 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2022-12-31
99497 · 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
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
99335 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2022-12-31
99483 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99480 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99204 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
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
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
99478 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99336 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2022-12-31
99477 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
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
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
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
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99203 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99468 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99223 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99337 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2022-12-31
99285 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99222 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99341 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99213 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99202 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99221 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99350 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99342 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99349 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99348 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
97750 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2020-10-01 2199-12-31
99347 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99343 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2022-12-31
99220 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2022-12-31
99201 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2020-12-31
99219 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2022-12-31
99305 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99218 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2022-12-31
99344 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99284 · 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
99217 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2022-12-31
99345 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-10-01 2199-12-31
99212 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
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
99460 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-01-01 2199-12-31
99350 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99349 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99348 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99347 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99345 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99310 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99309 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99308 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99307 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99306 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99305 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99304 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99292 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99291 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99285 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99284 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99283 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99282 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99281 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99214 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
97750 · CCI
9 Not applicable — edit has been deleted or is no longer active
More extensive procedure 2020-01-01 2020-01-01
99213 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
96020 · 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
99212 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99239 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
97530 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Separate procedure definition 2020-01-01 2020-01-01
99211 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99238 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
97150 · CCI
9 Not applicable — edit has been deleted or is no longer active
CPT Separate procedure definition 2020-01-01 2020-01-01
99236 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99205 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99235 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99234 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
0592T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
99233 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99232 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99204 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99231 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99224 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99203 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
0593T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
99223 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99222 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99202 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99221 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99220 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99201 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99219 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99218 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
98942 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-01-01 2199-12-31
99217 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
98941 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-01-01 2199-12-31
99215 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
98940 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-01-01 2199-12-31
0591T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
G0509 · CCI
9 Not applicable — edit has been deleted or is no longer active
Misuse of Column Two code with Column One code 2020-01-01 2020-01-01
G0508 · CCI
9 Not applicable — edit has been deleted or is no longer active
Misuse of Column Two code with Column One code 2020-01-01 2020-01-01
G0463 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-01-01 2199-12-31
G0445 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
G0444 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
G0443 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
G0442 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
G0439 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
G0438 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
G0427 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
G0426 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
G0425 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
G0408 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
G0407 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
G0406 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
G0402 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
G0384 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
G0383 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
G0382 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
G0381 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
G0380 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
G0337 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-01-01 2199-12-31
99497 · CCI
9 Not applicable — edit has been deleted or is no longer active
Misuse of Column Two code with Column One code 2020-01-01 2020-01-01
99486 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
99485 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
99483 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99480 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99479 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99478 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99477 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99476 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99475 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99472 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99471 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99469 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99468 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99467 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
99466 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2020-01-01 2199-12-31
99465 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-01-01 2199-12-31
99464 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-01-01 2199-12-31
99463 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-01-01 2199-12-31
99462 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-01-01 2199-12-31
99461 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-01-01 2199-12-31
99342 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99341 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99337 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99336 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99335 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99334 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99328 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99327 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99326 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-01-01 2022-12-31
99325 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-01-01 2022-12-31
99324 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-01-01 2022-12-31
99318 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2020-01-01 2022-12-31
99316 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99315 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99344 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
99343 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 2020-01-01 2020-01-01
97167 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2017-01-01 2017-06-30
97166 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2017-01-01 2017-06-30
97164 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2017-01-01 2017-06-30
97165 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2017-01-01 2017-06-30
97162 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2017-01-01 2017-06-30
97161 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2017-01-01 2017-06-30
97168 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2017-01-01 2017-06-30
97163 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2017-01-01 2017-06-30

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