Bedrock Billing Try Bedrock Billing for Free

NCCI Code Pairs — J1530

Complete listing of CMS National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edits involving HCPCS/CPT code J1530.

20 Total Edits 14 as Column 1 6 as Column 2
← View HCPCS J1530 Detail Page

Column 1 Pairs J1530 is the primary code

When J1530 is reported as the Column 1 (comprehensive) code, the paired Column 2 code is bundled and generally not separately payable.

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
J1460 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2000-07-01 2010-12-31
J1470 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2000-07-01 2010-12-31
J1480 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2000-07-01 2010-12-31
J1490 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2000-07-01 2010-12-31
J1500 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2000-07-01 2010-12-31
J1510 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2000-07-01 2010-12-31
J1520 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2000-07-01 2010-12-31
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
J1460 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2010-10-01 2010-12-31
J1470 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2010-10-01 2010-12-31
J1480 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2010-10-01 2010-12-31
J1490 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2010-10-01 2010-12-31
J1500 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2010-10-01 2010-12-31
J1510 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2010-10-01 2010-12-31
J1520 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2010-10-01 2010-12-31

Column 2 Pairs J1530 is the bundled code

When J1530 is reported as the Column 2 (component) code, it is bundled into the Column 1 comprehensive code and generally not separately payable.

Medicare Practitioner — 3 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
J1560 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2000-07-01 2010-12-31
J1540 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2000-07-01 2010-12-31
J1550 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2000-07-01 2010-12-31
Medicaid Practitioner — 3 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
J1540 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2010-10-01 2010-12-31
J1550 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2010-10-01 2010-12-31
J1560 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2010-10-01 2010-12-31

Automate NCCI edit checking

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

Try Bedrock Billing for Free