NCCI Code Pairs — A4611

Complete listing of CMS National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edits involving HCPCS/CPT code A4611.

18 Total Edits 18 as Column 2

Column 2 Pairs A4611 is the bundled code

When A4611 is reported as the Column 2 (component) code, it is bundled into the Column 1 comprehensive code 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
E0465 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2016-07-01	2199-12-31
E0466 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2016-07-01	2199-12-31
E0461 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2014-01-01	2015-12-31
E0450 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2014-01-01	2015-12-31
E0464 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2014-01-01	2015-12-31
E0463 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2014-01-01	2015-12-31

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
E0466 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2016-07-01	2199-12-31
E0465 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2016-07-01	2199-12-31
E0450 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2014-01-01	2015-12-31
E0461 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2014-01-01	2015-12-31
E0463 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2014-01-01	2015-12-31
E0464 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2014-01-01	2015-12-31

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
E0466 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2016-07-01	2199-12-31
E0465 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2016-07-01	2199-12-31
E0464 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2014-01-01	2015-12-31
E0463 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2014-01-01	2015-12-31
E0461 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2014-01-01	2015-12-31
E0450 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2014-01-01	2015-12-31

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