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NCCI Code Pairs — E0560

Complete listing of CMS National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edits involving HCPCS/CPT code E0560.

54 Total Edits 6 as Column 1 48 as Column 2
← View HCPCS E0560 Detail Page

Column 1 Pairs E0560 is the primary code

When E0560 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
E0580 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Mutually exclusive procedures 2014-01-01 2199-12-31
E0555 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Mutually exclusive procedures 2014-01-01 2199-12-31
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
E0580 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Mutually exclusive procedures 2014-01-01 2199-12-31
E0555 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Mutually exclusive procedures 2014-01-01 2199-12-31
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
E0580 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Mutually exclusive procedures 2014-01-01 2199-12-31
E0555 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Mutually exclusive procedures 2014-01-01 2199-12-31

Column 2 Pairs E0560 is the bundled code

When E0560 is reported as the Column 2 (component) code, it is bundled into the Column 1 comprehensive code and generally not separately payable.

Medicaid Facility — 16 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
E0467 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2021-07-01 2199-12-31
E1405 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2014-01-01 2199-12-31
E1391 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2014-01-01 2199-12-31
E1390 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2014-01-01 2199-12-31
E0550 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Mutually exclusive procedures 2014-01-01 2199-12-31
E0440 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2014-01-01 2199-12-31
E0439 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2014-01-01 2199-12-31
E0435 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2014-01-01 2199-12-31
E0434 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2014-01-01 2199-12-31
E0433 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2014-01-01 2199-12-31
E0431 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2014-01-01 2199-12-31
E0430 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2014-01-01 2199-12-31
E0425 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2014-01-01 2199-12-31
E0424 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2014-01-01 2199-12-31
K0738 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2014-01-01 2199-12-31
E1406 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2014-01-01 2199-12-31
Medicaid Practitioner — 16 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
E0467 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2021-07-01 2199-12-31
E0425 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2014-01-01 2199-12-31
E0430 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2014-01-01 2199-12-31
E0431 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2014-01-01 2199-12-31
E0433 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2014-01-01 2199-12-31
E0434 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2014-01-01 2199-12-31
E0435 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2014-01-01 2199-12-31
E0439 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2014-01-01 2199-12-31
E0440 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2014-01-01 2199-12-31
E0550 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Mutually exclusive procedures 2014-01-01 2199-12-31
E0424 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2014-01-01 2199-12-31
E1390 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2014-01-01 2199-12-31
E1391 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2014-01-01 2199-12-31
E1405 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2014-01-01 2199-12-31
E1406 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2014-01-01 2199-12-31
K0738 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2014-01-01 2199-12-31
Medicare DME — 16 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
E0467 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2021-07-01 2199-12-31
E1406 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2014-01-01 2199-12-31
E1405 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2014-01-01 2199-12-31
E1391 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2014-01-01 2199-12-31
E1390 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2014-01-01 2199-12-31
E0550 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Mutually exclusive procedures 2014-01-01 2199-12-31
E0440 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2014-01-01 2199-12-31
E0439 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2014-01-01 2199-12-31
E0435 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2014-01-01 2199-12-31
E0434 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2014-01-01 2199-12-31
E0433 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2014-01-01 2199-12-31
E0431 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2014-01-01 2199-12-31
E0430 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2014-01-01 2199-12-31
E0425 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2014-01-01 2199-12-31
K0738 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2014-01-01 2199-12-31
E0424 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
HCPCS/CPT procedure code definition 2014-01-01 2199-12-31

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