NCCI Code Pairs — A4220

Complete listing of CMS National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edits involving HCPCS/CPT code A4220.

16 Total Edits 16 as Column 2

Column 2 Pairs A4220 is the bundled code

When A4220 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) — 4 pairs

Paired Code	Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A	Rationale	Effective	End Date
62369 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	Misuse of Column Two code with Column One code	2015-01-01	2199-12-31
62370 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	Misuse of Column Two code with Column One code	2015-01-01	2199-12-31
95991 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	Standards of medical/surgical practice	2010-07-01	2199-12-31
95990 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	Standards of medical/surgical practice	2010-07-01	2199-12-31

Medicare Practitioner — 4 pairs

Paired Code	Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A	Rationale	Effective	End Date
62370 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	Misuse of Column Two code with Column One code	2015-01-01	2199-12-31
62369 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	Misuse of Column Two code with Column One code	2015-01-01	2199-12-31
95990 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	Standards of medical/surgical practice	2010-07-01	2199-12-31
95991 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	Standards of medical/surgical practice	2010-07-01	2199-12-31

Medicaid Facility — 4 pairs

Paired Code	Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A	Rationale	Effective	End Date
62369 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	Misuse of Column Two code with Column One code	2015-01-01	2199-12-31
62370 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	Misuse of Column Two code with Column One code	2015-01-01	2199-12-31
95991 · CCI	1 Modifier allowed — a NCCI-associated modifier may permit separate reporting	Standards of medical/surgical practice	2011-01-01	2199-12-31
95990 · CCI	1 Modifier allowed — a NCCI-associated modifier may permit separate reporting	Standards of medical/surgical practice	2011-01-01	2199-12-31

Medicaid Practitioner — 4 pairs

Paired Code	Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A	Rationale	Effective	End Date
62370 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	Misuse of Column Two code with Column One code	2015-01-01	2199-12-31
62369 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	Misuse of Column Two code with Column One code	2015-01-01	2199-12-31
95990 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	Standards of medical/surgical practice	2011-01-01	2199-12-31
95991 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	Standards of medical/surgical practice	2011-01-01	2199-12-31

Bedrock Billing validates CCI code pairs, modifier requirements, and bundling logic automatically.