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NCCI Code Pairs — C9724

Complete listing of CMS National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edits involving HCPCS/CPT code C9724.

316 Total Edits 316 as Column 1
← View HCPCS C9724 Detail Page

Column 1 Pairs C9724 is the primary code

When C9724 is reported as the Column 1 (comprehensive) code, the paired Column 2 code is bundled and generally not separately payable.

Medicare Facility (Hospital Outpatient) — 78 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
C9742 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2015-07-01 2015-12-31
43180 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2015-01-01 2015-12-31
64489 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2015-12-31
64488 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2015-12-31
64487 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2015-12-31
64486 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2015-12-31
43196 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2014-01-01 2015-12-31
43197 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Separate procedure definition 2014-01-01 2015-12-31
43198 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2014-01-01 2015-12-31
43191 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Separate procedure definition 2014-01-01 2015-12-31
43192 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2014-01-01 2015-12-31
43193 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2014-01-01 2015-12-31
43194 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2014-01-01 2015-12-31
43195 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2014-01-01 2015-12-31
43213 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2014-01-01 2015-12-31
43212 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2014-01-01 2015-12-31
43211 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2014-01-01 2015-12-31
43229 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2014-01-01 2015-12-31
43214 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2014-01-01 2015-12-31
43206 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2013-01-01 2015-12-31
43754 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2011-01-01 2015-12-31
43753 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2011-01-01 2015-12-31
0216T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-07-01 2015-12-31
0213T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-07-01 2015-12-31
64493 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-01-01 2015-12-31
64490 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-01-01 2015-12-31
96376 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-07-01 2015-12-31
96365 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2015-12-31
96372 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2015-12-31
96374 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2015-12-31
96375 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2015-12-31
96360 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2015-12-31
43255 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2007-01-01 2015-12-31
0008T · CCI
9 Not applicable — edit has been deleted or is no longer active
Mutually exclusive procedures 2007-01-01 2007-01-01
31505 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2007-01-01 2015-12-31
31525 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2007-01-01 2015-12-31
31575 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2007-01-01 2015-12-31
36000 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2007-01-01 2015-12-31
36410 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2007-01-01 2015-12-31
37202 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2007-01-01 2015-12-31
43200 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2007-01-01 2015-12-31
43201 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2007-01-01 2015-12-31
43202 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2007-01-01 2015-12-31
43204 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2007-01-01 2015-12-31
43205 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2007-01-01 2015-12-31
43215 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2007-01-01 2015-12-31
43216 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2007-01-01 2015-12-31
43217 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2007-01-01 2015-12-31
43219 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2007-01-01 2013-12-31
43220 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2007-01-01 2015-12-31
43226 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2007-01-01 2015-12-31
43227 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2007-01-01 2015-12-31
43228 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2007-01-01 2013-12-31
43231 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2007-01-01 2015-12-31
43232 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2007-01-01 2015-12-31
43234 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2007-01-01 2012-12-31
43235 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2007-01-01 2015-12-31
43752 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2007-01-01 2015-12-31
62318 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2007-01-01 2015-12-31
62319 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2007-01-01 2015-12-31
64415 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2007-01-01 2015-12-31
64416 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2007-01-01 2015-12-31
64417 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2007-01-01 2015-12-31
64450 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2007-01-01 2015-12-31
64470 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2007-01-01 2009-12-31
64475 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2007-01-01 2009-12-31
89130 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2007-01-01 2010-12-31
90760 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2007-01-01 2008-12-31
90765 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2007-01-01 2008-12-31
90772 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2007-01-01 2008-12-31
90774 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2007-01-01 2008-12-31
90775 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2007-01-01 2008-12-31
91000 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2007-01-01 2010-12-31
91055 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2007-01-01 2010-12-31
91105 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2007-01-01 2010-12-31
92511 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Separate procedure definition 2007-01-01 2015-12-31
94760 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2007-01-01 2015-12-31
94761 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2007-01-01 2015-12-31
Medicare Practitioner — 80 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
36591 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2015-10-01 2015-12-31
36592 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2015-10-01 2015-12-31
C9742 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2015-07-01 2015-12-31
43180 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2015-01-01 2015-12-31
64487 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2015-12-31
64486 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2015-12-31
64488 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2015-12-31
64489 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2015-12-31
43229 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2014-01-01 2015-12-31
43211 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2014-01-01 2015-12-31
43212 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2014-01-01 2015-12-31
43213 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2014-01-01 2015-12-31
43214 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2014-01-01 2015-12-31
43198 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2014-01-01 2015-12-31
43191 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Separate procedure definition 2014-01-01 2015-12-31
43192 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2014-01-01 2015-12-31
43193 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2014-01-01 2015-12-31
43194 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2014-01-01 2015-12-31
43195 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2014-01-01 2015-12-31
43196 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2014-01-01 2015-12-31
43197 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Separate procedure definition 2014-01-01 2015-12-31
43206 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2013-01-01 2015-12-31
43753 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2011-01-01 2015-12-31
43754 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2011-01-01 2015-12-31
0213T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-07-01 2015-12-31
0216T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-07-01 2015-12-31
64490 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-01-01 2015-12-31
64493 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-01-01 2015-12-31
96376 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-07-01 2015-12-31
96360 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2015-12-31
96365 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2015-12-31
96374 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2015-12-31
96375 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2015-12-31
96372 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2009-01-01 2015-12-31
94761 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2007-01-01 2015-12-31
91055 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2007-01-01 2010-12-31
64417 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2007-01-01 2015-12-31
64416 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2007-01-01 2015-12-31
64415 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2007-01-01 2015-12-31
62319 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2007-01-01 2015-12-31
62318 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2007-01-01 2015-12-31
43752 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2007-01-01 2015-12-31
43255 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2007-01-01 2015-12-31
43235 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2007-01-01 2015-12-31
43234 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2007-01-01 2012-12-31
43232 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2007-01-01 2015-12-31
43231 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2007-01-01 2015-12-31
43228 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2007-01-01 2013-12-31
43227 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2007-01-01 2015-12-31
43226 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2007-01-01 2015-12-31
43220 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2007-01-01 2015-12-31
43219 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2007-01-01 2013-12-31
43217 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2007-01-01 2015-12-31
43216 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2007-01-01 2015-12-31
43215 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2007-01-01 2015-12-31
92511 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Separate procedure definition 2007-01-01 2015-12-31
90760 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2007-01-01 2008-12-31
89130 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2007-01-01 2010-12-31
43205 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2007-01-01 2015-12-31
43204 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2007-01-01 2015-12-31
43202 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2007-01-01 2015-12-31
43201 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2007-01-01 2015-12-31
43200 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2007-01-01 2015-12-31
64475 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2007-01-01 2009-12-31
91105 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2007-01-01 2010-12-31
90765 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2007-01-01 2008-12-31
90774 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2007-01-01 2008-12-31
90775 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2007-01-01 2008-12-31
91000 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2007-01-01 2010-12-31
0008T · CCI
9 Not applicable — edit has been deleted or is no longer active
Mutually exclusive procedures 2007-01-01 2007-01-01
36000 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2007-01-01 2015-12-31
36410 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2007-01-01 2015-12-31
94760 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2007-01-01 2015-12-31
64450 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2007-01-01 2015-12-31
37202 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2007-01-01 2015-12-31
31575 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2007-01-01 2015-12-31
90772 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2007-01-01 2008-12-31
31525 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2007-01-01 2015-12-31
31505 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2007-01-01 2015-12-31
64470 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2007-01-01 2009-12-31
Medicaid Facility — 78 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
0214T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-10-01 2015-12-31
0217T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-10-01 2015-12-31
0215T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-10-01 2015-12-31
0218T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-10-01 2015-12-31
C9742 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2015-07-01 2015-12-31
64491 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-07-01 2015-12-31
64492 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-07-01 2015-12-31
64494 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-07-01 2015-12-31
64495 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-07-01 2015-12-31
64487 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2015-12-31
43180 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2015-01-01 2015-12-31
64486 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2015-12-31
64489 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2015-12-31
64488 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2015-12-31
43191 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Separate procedure definition 2014-01-01 2015-12-31
43196 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2014-01-01 2015-12-31
43195 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2014-01-01 2015-12-31
43194 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2014-01-01 2015-12-31
43193 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2014-01-01 2015-12-31
43192 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2014-01-01 2015-12-31
43229 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2014-01-01 2015-12-31
43214 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2014-01-01 2015-12-31
43213 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2014-01-01 2015-12-31
43212 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2014-01-01 2015-12-31
43211 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2014-01-01 2015-12-31
43198 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2014-01-01 2015-12-31
43197 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Separate procedure definition 2014-01-01 2015-12-31
43206 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2013-01-01 2015-12-31
94760 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2011-01-01 2015-12-31
43754 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2011-01-01 2015-12-31
43753 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2011-01-01 2015-12-31
94761 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2011-01-01 2015-12-31
43232 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2010-10-01 2015-12-31
0213T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2015-12-31
0216T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2015-12-31
31505 · 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 2015-12-31
31525 · 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 2015-12-31
31575 · 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 2015-12-31
36000 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2015-12-31
36410 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2015-12-31
37202 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2015-12-31
43200 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2010-10-01 2015-12-31
43201 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2010-10-01 2015-12-31
43202 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2010-10-01 2015-12-31
43204 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2010-10-01 2015-12-31
43205 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2010-10-01 2015-12-31
43215 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2010-10-01 2015-12-31
43216 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2010-10-01 2015-12-31
43217 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2010-10-01 2015-12-31
43219 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2010-10-01 2013-12-31
43220 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2010-10-01 2015-12-31
43226 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2010-10-01 2015-12-31
43227 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2010-10-01 2015-12-31
43228 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2010-10-01 2013-12-31
43231 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2010-10-01 2015-12-31
43234 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2010-10-01 2012-12-31
43235 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2010-10-01 2015-12-31
43255 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2015-12-31
43752 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2015-12-31
62318 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2015-12-31
62319 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2015-12-31
64415 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2015-12-31
64416 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2015-12-31
64417 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2015-12-31
64450 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2015-12-31
64490 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2015-12-31
96374 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2015-12-31
96375 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2015-12-31
64493 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2015-12-31
96376 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2015-12-31
89130 · 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 2010-12-31
91000 · 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 2010-12-31
91055 · 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 2010-12-31
91105 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2010-12-31
92511 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Separate procedure definition 2010-10-01 2015-12-31
96360 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2015-12-31
96365 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2015-12-31
96372 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2015-12-31
Medicaid Practitioner — 80 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
36591 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2015-10-01 2015-12-31
36592 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2015-10-01 2015-12-31
0217T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-10-01 2015-12-31
0218T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-10-01 2015-12-31
0214T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-10-01 2015-12-31
0215T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-10-01 2015-12-31
64491 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-07-01 2015-12-31
64492 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-07-01 2015-12-31
64494 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-07-01 2015-12-31
64495 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-07-01 2015-12-31
C9742 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2015-07-01 2015-12-31
64488 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2015-12-31
64486 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2015-12-31
64489 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2015-12-31
43180 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2015-01-01 2015-12-31
64487 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2015-01-01 2015-12-31
43196 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2014-01-01 2015-12-31
43195 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2014-01-01 2015-12-31
43194 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2014-01-01 2015-12-31
43193 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2014-01-01 2015-12-31
43192 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2014-01-01 2015-12-31
43191 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Separate procedure definition 2014-01-01 2015-12-31
43214 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2014-01-01 2015-12-31
43212 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2014-01-01 2015-12-31
43229 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2014-01-01 2015-12-31
43213 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2014-01-01 2015-12-31
43198 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2014-01-01 2015-12-31
43197 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Separate procedure definition 2014-01-01 2015-12-31
43211 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2014-01-01 2015-12-31
43206 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2013-01-01 2015-12-31
43754 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2011-01-01 2015-12-31
94760 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2011-01-01 2015-12-31
94761 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2011-01-01 2015-12-31
43753 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2011-01-01 2015-12-31
43216 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2010-10-01 2015-12-31
43215 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2010-10-01 2015-12-31
43205 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2010-10-01 2015-12-31
43204 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2010-10-01 2015-12-31
43202 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2010-10-01 2015-12-31
43201 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2010-10-01 2015-12-31
43200 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2010-10-01 2015-12-31
37202 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2015-12-31
36410 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2015-12-31
36000 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2015-12-31
31575 · 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 2015-12-31
31505 · 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 2015-12-31
31525 · 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 2015-12-31
96375 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2015-12-31
0216T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2015-12-31
96374 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2015-12-31
96360 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2015-12-31
0213T · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2015-12-31
96365 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2015-12-31
89130 · 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 2010-12-31
91105 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2010-12-31
64415 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2015-12-31
64416 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2015-12-31
64417 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2015-12-31
64450 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2015-12-31
64490 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2015-12-31
96372 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2015-12-31
92511 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Separate procedure definition 2010-10-01 2015-12-31
96376 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2015-12-31
64493 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2015-12-31
91000 · 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 2010-12-31
91055 · 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 2010-12-31
62319 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2015-12-31
62318 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2015-12-31
43752 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2010-10-01 2015-12-31
43255 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2010-10-01 2015-12-31
43235 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
CPT Manual or CMS manual coding instruction 2010-10-01 2015-12-31
43234 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2010-10-01 2012-12-31
43232 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2010-10-01 2015-12-31
43231 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2010-10-01 2015-12-31
43228 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2010-10-01 2013-12-31
43227 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2010-10-01 2015-12-31
43226 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2010-10-01 2015-12-31
43220 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2010-10-01 2015-12-31
43219 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2010-10-01 2013-12-31
43217 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2010-10-01 2015-12-31

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