NCCI Code Pairs — A4262

Complete listing of CMS National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edits involving HCPCS/CPT code A4262.

5 Total Edits 5 as Column 2

Column 2 Pairs A4262 is the bundled code

When A4262 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) — 1 pair

Paired Code	Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A	Rationale	Effective	End Date
A4263 · CCI	9 Not applicable — edit has been deleted or is no longer active	More extensive procedure	1996-01-01	1996-01-01

Medicare Practitioner — 1 pair

Paired Code	Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A	Rationale	Effective	End Date
A4263 · CCI	9 Not applicable — edit has been deleted or is no longer active	More extensive procedure	1996-01-01	1996-01-01

Medicaid Facility — 1 pair

Paired Code	Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A	Rationale	Effective	End Date
A4263 · CCI	1 Modifier allowed — a NCCI-associated modifier may permit separate reporting	Mutually exclusive procedures	2014-01-01	2199-12-31

Medicaid Practitioner — 1 pair

Paired Code	Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A	Rationale	Effective	End Date
A4263 · CCI	1 Modifier allowed — a NCCI-associated modifier may permit separate reporting	Mutually exclusive procedures	2014-01-01	2199-12-31

Medicare DME — 1 pair

Paired Code	Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A	Rationale	Effective	End Date
A4263 · CCI	1 Modifier allowed — a NCCI-associated modifier may permit separate reporting	Mutually exclusive procedures	2014-01-01	2199-12-31

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