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NCCI Code Pairs — J1565

Complete listing of CMS National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edits involving HCPCS/CPT code J1565.

3 Total Edits 2 as Column 1 1 as Column 2
← View HCPCS J1565 Detail Page

Column 1 Pairs J1565 is the primary code

When J1565 is reported as the Column 1 (comprehensive) code, the paired Column 2 code is bundled and generally not separately payable.

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
90378 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2001-07-01 2009-12-31
90379 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
More extensive procedure 2000-07-01 2001-12-31

Column 2 Pairs J1565 is the bundled code

When J1565 is reported as the Column 2 (component) code, it is bundled into the Column 1 comprehensive code and generally not separately payable.

Medicare Practitioner — 1 pair
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
90379 · CCI
9 Not applicable — edit has been deleted or is no longer active
Mutually exclusive procedures 2000-06-05 2000-06-05

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