NCCI Code Pairs — A4326
Complete listing of CMS National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edits involving HCPCS/CPT code A4326.
21 Total Edits
18 as Column 1
3 as Column 2
← View HCPCS A4326 Detail Page
Column 1 Pairs A4326 is the primary code
When A4326 is reported as the Column 1 (comprehensive) code, the paired Column 2 code is bundled and generally not separately payable.
Medicaid Facility — 6 pairs
| Paired Code |
Mod
Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
|
Rationale | Effective | End Date |
|---|---|---|---|---|
| A4355 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Misuse of Column Two code with Column One code | 2015-04-01 | 2199-12-31 |
| A4328 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Sex-specific procedures | 2015-04-01 | 2199-12-31 |
| A4327 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Sex-specific procedures | 2015-04-01 | 2199-12-31 |
| A4322 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Misuse of Column Two code with Column One code | 2015-04-01 | 2199-12-31 |
| A4321 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Misuse of Column Two code with Column One code | 2015-04-01 | 2199-12-31 |
| A4320 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Misuse of Column Two code with Column One code | 2015-04-01 | 2199-12-31 |
Medicaid Practitioner — 6 pairs
| Paired Code |
Mod
Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
|
Rationale | Effective | End Date |
|---|---|---|---|---|
| A4320 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Misuse of Column Two code with Column One code | 2015-04-01 | 2199-12-31 |
| A4321 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Misuse of Column Two code with Column One code | 2015-04-01 | 2199-12-31 |
| A4322 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Misuse of Column Two code with Column One code | 2015-04-01 | 2199-12-31 |
| A4327 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Sex-specific procedures | 2015-04-01 | 2199-12-31 |
| A4328 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Sex-specific procedures | 2015-04-01 | 2199-12-31 |
| A4355 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Misuse of Column Two code with Column One code | 2015-04-01 | 2199-12-31 |
Medicare DME — 6 pairs
| Paired Code |
Mod
Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
|
Rationale | Effective | End Date |
|---|---|---|---|---|
| A4355 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Misuse of Column Two code with Column One code | 2015-04-01 | 2199-12-31 |
| A4328 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Sex-specific procedures | 2015-04-01 | 2199-12-31 |
| A4327 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Sex-specific procedures | 2015-04-01 | 2199-12-31 |
| A4322 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Misuse of Column Two code with Column One code | 2015-04-01 | 2199-12-31 |
| A4321 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Misuse of Column Two code with Column One code | 2015-04-01 | 2199-12-31 |
| A4320 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Misuse of Column Two code with Column One code | 2015-04-01 | 2199-12-31 |
Column 2 Pairs A4326 is the bundled code
When A4326 is reported as the Column 2 (component) code, it is bundled into the Column 1 comprehensive code and generally not separately payable.
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 |
|---|---|---|---|---|
| A5105 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2015-04-01 | 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 |
|---|---|---|---|---|
| A5105 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2015-04-01 | 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 |
|---|---|---|---|---|
| A5105 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2015-04-01 | 2199-12-31 |
Automate NCCI edit checking
Bedrock Billing validates CCI code pairs, modifier requirements, and bundling logic automatically.
Try Bedrock Billing for Free