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NCCI Code Pairs — A9566

Complete listing of CMS National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edits involving HCPCS/CPT code A9566.

60 Total Edits 4 as Column 1 56 as Column 2
← View HCPCS A9566 Detail Page

Column 1 Pairs A9566 is the primary code

When A9566 is reported as the Column 1 (comprehensive) code, the paired Column 2 code is bundled 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
A9512 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2010-07-01 2199-12-31
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
A9512 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2010-07-01 2199-12-31
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
A9512 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2010-10-01 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
A9512 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2010-10-01 2199-12-31

Column 2 Pairs A9566 is the bundled code

When A9566 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) — 14 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
78832 · CCI
9 Not applicable — edit has been deleted or is no longer active
Misuse of Column Two code with Column One code 2020-01-01 2020-01-01
78830 · CCI
9 Not applicable — edit has been deleted or is no longer active
Misuse of Column Two code with Column One code 2020-01-01 2020-01-01
78803 · CCI
9 Not applicable — edit has been deleted or is no longer active
Misuse of Column Two code with Column One code 2020-01-01 2020-01-01
78802 · CCI
9 Not applicable — edit has been deleted or is no longer active
Misuse of Column Two code with Column One code 2020-01-01 2020-01-01
78801 · CCI
9 Not applicable — edit has been deleted or is no longer active
Misuse of Column Two code with Column One code 2020-01-01 2020-01-01
78800 · CCI
9 Not applicable — edit has been deleted or is no longer active
Misuse of Column Two code with Column One code 2020-01-01 2020-01-01
78315 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2199-12-31
78306 · CCI
9 Not applicable — edit has been deleted or is no longer active
Misuse of Column Two code with Column One code 2020-01-01 2020-01-01
78305 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2199-12-31
78300 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2199-12-31
78831 · CCI
9 Not applicable — edit has been deleted or is no longer active
Misuse of Column Two code with Column One code 2020-01-01 2020-01-01
78805 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2015-10-01 2019-12-31
78278 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2015-10-01 2199-12-31
78472 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2015-10-01 2199-12-31
Medicare Practitioner — 14 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
78803 · CCI
9 Not applicable — edit has been deleted or is no longer active
Misuse of Column Two code with Column One code 2020-01-01 2020-01-01
78300 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2199-12-31
78305 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2199-12-31
78306 · CCI
9 Not applicable — edit has been deleted or is no longer active
Misuse of Column Two code with Column One code 2020-01-01 2020-01-01
78315 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2199-12-31
78830 · CCI
9 Not applicable — edit has been deleted or is no longer active
Misuse of Column Two code with Column One code 2020-01-01 2020-01-01
78800 · CCI
9 Not applicable — edit has been deleted or is no longer active
Misuse of Column Two code with Column One code 2020-01-01 2020-01-01
78801 · CCI
9 Not applicable — edit has been deleted or is no longer active
Misuse of Column Two code with Column One code 2020-01-01 2020-01-01
78802 · CCI
9 Not applicable — edit has been deleted or is no longer active
Misuse of Column Two code with Column One code 2020-01-01 2020-01-01
78831 · CCI
9 Not applicable — edit has been deleted or is no longer active
Misuse of Column Two code with Column One code 2020-01-01 2020-01-01
78832 · CCI
9 Not applicable — edit has been deleted or is no longer active
Misuse of Column Two code with Column One code 2020-01-01 2020-01-01
78805 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2015-10-01 2019-12-31
78278 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2015-10-01 2199-12-31
78472 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2015-10-01 2199-12-31
Medicaid Facility — 14 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
78831 · CCI
9 Not applicable — edit has been deleted or is no longer active
Misuse of Column Two code with Column One code 2020-01-01 2020-01-01
78306 · CCI
9 Not applicable — edit has been deleted or is no longer active
Misuse of Column Two code with Column One code 2020-01-01 2020-01-01
78315 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2199-12-31
78800 · CCI
9 Not applicable — edit has been deleted or is no longer active
Misuse of Column Two code with Column One code 2020-01-01 2020-01-01
78801 · CCI
9 Not applicable — edit has been deleted or is no longer active
Misuse of Column Two code with Column One code 2020-01-01 2020-01-01
78832 · CCI
9 Not applicable — edit has been deleted or is no longer active
Misuse of Column Two code with Column One code 2020-01-01 2020-01-01
78802 · CCI
9 Not applicable — edit has been deleted or is no longer active
Misuse of Column Two code with Column One code 2020-01-01 2020-01-01
78803 · CCI
9 Not applicable — edit has been deleted or is no longer active
Misuse of Column Two code with Column One code 2020-01-01 2020-01-01
78830 · CCI
9 Not applicable — edit has been deleted or is no longer active
Misuse of Column Two code with Column One code 2020-01-01 2020-01-01
78305 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2199-12-31
78300 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2199-12-31
78278 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2015-10-01 2199-12-31
78472 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2015-10-01 2199-12-31
78805 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2015-10-01 2019-12-31
Medicaid Practitioner — 14 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
78830 · CCI
9 Not applicable — edit has been deleted or is no longer active
Misuse of Column Two code with Column One code 2020-01-01 2020-01-01
78832 · CCI
9 Not applicable — edit has been deleted or is no longer active
Misuse of Column Two code with Column One code 2020-01-01 2020-01-01
78315 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2199-12-31
78306 · CCI
9 Not applicable — edit has been deleted or is no longer active
Misuse of Column Two code with Column One code 2020-01-01 2020-01-01
78305 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2199-12-31
78831 · CCI
9 Not applicable — edit has been deleted or is no longer active
Misuse of Column Two code with Column One code 2020-01-01 2020-01-01
78803 · CCI
9 Not applicable — edit has been deleted or is no longer active
Misuse of Column Two code with Column One code 2020-01-01 2020-01-01
78802 · CCI
9 Not applicable — edit has been deleted or is no longer active
Misuse of Column Two code with Column One code 2020-01-01 2020-01-01
78300 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2020-01-01 2199-12-31
78801 · CCI
9 Not applicable — edit has been deleted or is no longer active
Misuse of Column Two code with Column One code 2020-01-01 2020-01-01
78800 · CCI
9 Not applicable — edit has been deleted or is no longer active
Misuse of Column Two code with Column One code 2020-01-01 2020-01-01
78805 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2015-10-01 2019-12-31
78278 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2015-10-01 2199-12-31
78472 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2015-10-01 2199-12-31

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