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NCCI Code Pairs — G0198

Complete listing of CMS National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edits involving HCPCS/CPT code G0198.

15 Total Edits 14 as Column 1 1 as Column 2
← View HCPCS G0198 Detail Page

Column 1 Pairs G0198 is the primary code

When G0198 is reported as the Column 1 (comprehensive) code, the paired Column 2 code is bundled and generally not separately payable.

Medicare Facility (Hospital Outpatient) — 7 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
92506 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2002-04-01 2003-03-31
92507 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2002-04-01 2003-03-31
92508 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2002-04-01 2003-03-31
G0197 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2002-04-01 2003-03-31
G0199 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2002-04-01 2003-03-31
G0200 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2002-04-01 2003-03-31
G0201 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2002-04-01 2003-03-31
Medicare Practitioner — 7 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
92506 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2002-04-01 2003-03-31
92507 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2002-04-01 2003-03-31
92508 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2002-04-01 2003-03-31
G0197 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2002-04-01 2003-03-31
G0199 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2002-04-01 2003-03-31
G0200 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2002-04-01 2003-03-31
G0201 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2002-04-01 2003-03-31

Column 2 Pairs G0198 is the bundled code

When G0198 is reported as the Column 2 (component) code, it is bundled into the Column 1 comprehensive code and generally not separately payable.

Medicare Facility (Hospital Outpatient) — 1 pair
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
31611 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2002-04-01 2003-03-31

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