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NCCI Code Pairs — E0465

Complete listing of CMS National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edits involving HCPCS/CPT code E0465.

12 Total Edits 12 as Column 1
← View HCPCS E0465 Detail Page

Column 1 Pairs E0465 is the primary code

When E0465 is reported as the Column 1 (comprehensive) code, the paired Column 2 code is bundled and generally not separately payable.

Medicaid Facility — 4 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
A4618 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2016-07-01 2199-12-31
A4613 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2016-07-01 2199-12-31
A4612 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2016-07-01 2199-12-31
A4611 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2016-07-01 2199-12-31
Medicaid Practitioner — 4 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
A4611 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2016-07-01 2199-12-31
A4612 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2016-07-01 2199-12-31
A4613 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2016-07-01 2199-12-31
A4618 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2016-07-01 2199-12-31
Medicare DME — 4 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
A4618 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2016-07-01 2199-12-31
A4613 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2016-07-01 2199-12-31
A4612 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2016-07-01 2199-12-31
A4611 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2016-07-01 2199-12-31

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