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NCCI Code Pairs — G9004

Complete listing of CMS National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edits involving HCPCS/CPT code G9004.

14 Total Edits 4 as Column 1 10 as Column 2
← View HCPCS G9004 Detail Page

Column 1 Pairs G9004 is the primary code

When G9004 is reported as the Column 1 (comprehensive) code, the paired Column 2 code is bundled and generally not separately payable.

Medicare Facility (Hospital Outpatient) — 2 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
G9001 · CCI
9 Not applicable — edit has been deleted or is no longer active
Mutually exclusive procedures 2002-04-01 2002-04-01
G9003 · CCI
9 Not applicable — edit has been deleted or is no longer active
Mutually exclusive procedures 2002-04-01 2002-04-01
Medicare Practitioner — 2 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
G9001 · CCI
9 Not applicable — edit has been deleted or is no longer active
Mutually exclusive procedures 2002-04-01 2002-04-01
G9003 · CCI
9 Not applicable — edit has been deleted or is no longer active
Mutually exclusive procedures 2002-04-01 2002-04-01

Column 2 Pairs G9004 is the bundled code

When G9004 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) — 5 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
G9002 · CCI
9 Not applicable — edit has been deleted or is no longer active
Mutually exclusive procedures 2002-04-01 2002-04-01
G9005 · CCI
9 Not applicable — edit has been deleted or is no longer active
Mutually exclusive procedures 2002-04-01 2002-04-01
G9006 · CCI
9 Not applicable — edit has been deleted or is no longer active
Mutually exclusive procedures 2002-04-01 2002-04-01
G9007 · CCI
9 Not applicable — edit has been deleted or is no longer active
Mutually exclusive procedures 2002-04-01 2002-04-01
G9008 · CCI
9 Not applicable — edit has been deleted or is no longer active
Mutually exclusive procedures 2002-04-01 2002-04-01
Medicare Practitioner — 5 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
G9002 · CCI
9 Not applicable — edit has been deleted or is no longer active
Mutually exclusive procedures 2002-04-01 2002-04-01
G9005 · CCI
9 Not applicable — edit has been deleted or is no longer active
Mutually exclusive procedures 2002-04-01 2002-04-01
G9006 · CCI
9 Not applicable — edit has been deleted or is no longer active
Mutually exclusive procedures 2002-04-01 2002-04-01
G9007 · CCI
9 Not applicable — edit has been deleted or is no longer active
Mutually exclusive procedures 2002-04-01 2002-04-01
G9008 · CCI
9 Not applicable — edit has been deleted or is no longer active
Mutually exclusive procedures 2002-04-01 2002-04-01

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