NCCI Code Pairs — E0604

Complete listing of CMS National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edits involving HCPCS/CPT code E0604.

21 Total Edits 21 as Column 1

Column 1 Pairs E0604 is the primary code

When E0604 is reported as the Column 1 (comprehensive) code, the paired Column 2 code is bundled and generally not separately payable.

Medicaid Facility — 7 pairs

Paired Code	Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A	Rationale	Effective	End Date
E0603 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	Mutually exclusive procedures	2014-01-01	2199-12-31
E0602 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	Mutually exclusive procedures	2014-01-01	2199-12-31
A4286 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2014-01-01	2199-12-31
A4284 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2014-01-01	2199-12-31
A4283 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2014-01-01	2199-12-31
A4282 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2014-01-01	2199-12-31
A4281 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2014-01-01	2199-12-31

Medicaid Practitioner — 7 pairs

Paired Code	Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A	Rationale	Effective	End Date
A4281 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2014-01-01	2199-12-31
A4282 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2014-01-01	2199-12-31
A4283 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2014-01-01	2199-12-31
A4284 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2014-01-01	2199-12-31
A4286 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2014-01-01	2199-12-31
E0602 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	Mutually exclusive procedures	2014-01-01	2199-12-31
E0603 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	Mutually exclusive procedures	2014-01-01	2199-12-31

Medicare DME — 7 pairs

Paired Code	Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A	Rationale	Effective	End Date
E0603 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	Mutually exclusive procedures	2014-01-01	2199-12-31
E0602 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	Mutually exclusive procedures	2014-01-01	2199-12-31
A4286 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2014-01-01	2199-12-31
A4284 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2014-01-01	2199-12-31
A4283 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2014-01-01	2199-12-31
A4282 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2014-01-01	2199-12-31
A4281 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2014-01-01	2199-12-31

Bedrock Billing validates CCI code pairs, modifier requirements, and bundling logic automatically.