NCCI Code Pairs — B4158
Complete listing of CMS National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edits involving HCPCS/CPT code B4158.
30 Total Edits
6 as Column 1
24 as Column 2
← View HCPCS B4158 Detail Page
Column 1 Pairs B4158 is the primary code
When B4158 is reported as the Column 1 (comprehensive) code, the paired Column 2 code is bundled and generally not separately payable.
Medicaid Facility — 2 pairs
| Paired Code |
Mod
Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
|
Rationale | Effective | End Date |
|---|---|---|---|---|
| B4160 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Mutually exclusive procedures | 2019-01-01 | 2019-01-01 |
| B4152 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Mutually exclusive procedures | 2019-01-01 | 2019-01-01 |
Medicaid Practitioner — 2 pairs
| Paired Code |
Mod
Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
|
Rationale | Effective | End Date |
|---|---|---|---|---|
| B4152 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Mutually exclusive procedures | 2019-01-01 | 2019-01-01 |
| B4160 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Mutually exclusive procedures | 2019-01-01 | 2019-01-01 |
Medicare DME — 2 pairs
| Paired Code |
Mod
Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
|
Rationale | Effective | End Date |
|---|---|---|---|---|
| B4160 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Mutually exclusive procedures | 2019-01-01 | 2019-01-01 |
| B4152 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Mutually exclusive procedures | 2019-01-01 | 2019-01-01 |
Column 2 Pairs B4158 is the bundled code
When B4158 is reported as the Column 2 (component) code, it is bundled into the Column 1 comprehensive code and generally not separately payable.
Medicaid Facility — 8 pairs
| Paired Code |
Mod
Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
|
Rationale | Effective | End Date |
|---|---|---|---|---|
| B4162 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Mutually exclusive procedures | 2019-01-01 | 2019-01-01 |
| B4161 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Mutually exclusive procedures | 2019-01-01 | 2019-01-01 |
| B4159 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Mutually exclusive procedures | 2019-01-01 | 2019-01-01 |
| B4157 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Mutually exclusive procedures | 2019-01-01 | 2019-01-01 |
| B4154 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Mutually exclusive procedures | 2019-01-01 | 2019-01-01 |
| B4153 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Mutually exclusive procedures | 2019-01-01 | 2019-01-01 |
| B4150 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Mutually exclusive procedures | 2019-01-01 | 2019-01-01 |
| B4149 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Mutually exclusive procedures | 2019-01-01 | 2019-01-01 |
Medicaid Practitioner — 8 pairs
| Paired Code |
Mod
Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
|
Rationale | Effective | End Date |
|---|---|---|---|---|
| B4149 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Mutually exclusive procedures | 2019-01-01 | 2019-01-01 |
| B4150 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Mutually exclusive procedures | 2019-01-01 | 2019-01-01 |
| B4153 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Mutually exclusive procedures | 2019-01-01 | 2019-01-01 |
| B4154 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Mutually exclusive procedures | 2019-01-01 | 2019-01-01 |
| B4157 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Mutually exclusive procedures | 2019-01-01 | 2019-01-01 |
| B4159 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Mutually exclusive procedures | 2019-01-01 | 2019-01-01 |
| B4161 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Mutually exclusive procedures | 2019-01-01 | 2019-01-01 |
| B4162 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Mutually exclusive procedures | 2019-01-01 | 2019-01-01 |
Medicare DME — 8 pairs
| Paired Code |
Mod
Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
|
Rationale | Effective | End Date |
|---|---|---|---|---|
| B4162 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Mutually exclusive procedures | 2019-01-01 | 2019-01-01 |
| B4161 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Mutually exclusive procedures | 2019-01-01 | 2019-01-01 |
| B4159 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Mutually exclusive procedures | 2019-01-01 | 2019-01-01 |
| B4157 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Mutually exclusive procedures | 2019-01-01 | 2019-01-01 |
| B4154 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Mutually exclusive procedures | 2019-01-01 | 2019-01-01 |
| B4153 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Mutually exclusive procedures | 2019-01-01 | 2019-01-01 |
| B4150 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Mutually exclusive procedures | 2019-01-01 | 2019-01-01 |
| B4149 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Mutually exclusive procedures | 2019-01-01 | 2019-01-01 |
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