NCCI Code Pairs — A5105
Complete listing of CMS National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edits involving HCPCS/CPT code A5105.
21 Total Edits
21 as Column 1
← View HCPCS A5105 Detail Page
Column 1 Pairs A5105 is the primary code
When A5105 is reported as the Column 1 (comprehensive) code, the paired Column 2 code is bundled and generally not separately payable.
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 |
|---|---|---|---|---|
| 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 |
| A4326 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive 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 — 7 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 |
| A4326 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive 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 |
| 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 — 7 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 |
| A4326 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive 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 |
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