NCCI Code Pairs — K0053
Complete listing of CMS National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edits involving HCPCS/CPT code K0053.
132 Total Edits
24 as Column 1
108 as Column 2
← View HCPCS K0053 Detail Page
Column 1 Pairs K0053 is the primary code
When K0053 is reported as the Column 1 (comprehensive) code, the paired Column 2 code is bundled and generally not separately payable.
Medicaid Facility — 8 pairs
| Paired Code |
Mod
Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
|
Rationale | Effective | End Date |
|---|---|---|---|---|
| K0047 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| K0046 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| K0045 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| K0044 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| K0043 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| K0042 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E0995 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E0990 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
Medicaid Practitioner — 8 pairs
| Paired Code |
Mod
Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
|
Rationale | Effective | End Date |
|---|---|---|---|---|
| K0043 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E0990 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E0995 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| K0042 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| K0044 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| K0045 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| K0046 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| K0047 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
Medicare DME — 8 pairs
| Paired Code |
Mod
Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
|
Rationale | Effective | End Date |
|---|---|---|---|---|
| K0047 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| K0046 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| K0045 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| K0044 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| K0043 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| K0042 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E0995 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E0990 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
Column 2 Pairs K0053 is the bundled code
When K0053 is reported as the Column 2 (component) code, it is bundled into the Column 1 comprehensive code and generally not separately payable.
Medicaid Facility — 36 pairs
| Paired Code |
Mod
Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
|
Rationale | Effective | End Date |
|---|---|---|---|---|
| E1012 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2016-07-01 | 2199-12-31 |
| E1295 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1280 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1270 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1240 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1230 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1224 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1222 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1195 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1190 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1170 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1160 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1150 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1130 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1110 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1100 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1092 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1088 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1087 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1084 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1083 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1060 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1050 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1039 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1038 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1037 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1031 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1010 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1009 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| K0801 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| K0800 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| K0812 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| K0808 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| K0807 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| K0806 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| K0802 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
Medicaid Practitioner — 36 pairs
| Paired Code |
Mod
Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
|
Rationale | Effective | End Date |
|---|---|---|---|---|
| E1012 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2016-07-01 | 2199-12-31 |
| E1010 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1031 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1037 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1038 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1039 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1050 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1060 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1083 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1084 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1087 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1088 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1092 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1100 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1110 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1130 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1150 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1160 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1170 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1190 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1195 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1222 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1224 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1230 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1240 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1270 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1280 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1295 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1009 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| K0800 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| K0801 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| K0802 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| K0806 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| K0807 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| K0808 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| K0812 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
Medicare DME — 36 pairs
| Paired Code |
Mod
Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
|
Rationale | Effective | End Date |
|---|---|---|---|---|
| E1012 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2016-07-01 | 2199-12-31 |
| K0800 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1295 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1280 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1270 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1240 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1230 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1224 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1222 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1195 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1190 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1170 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1160 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1150 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1130 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1110 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1100 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1092 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1088 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1087 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1084 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1083 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1060 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1050 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1039 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1038 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1037 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1031 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1010 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| E1009 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| K0812 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| K0808 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| K0807 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| K0806 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| K0801 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
| K0802 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2012-10-01 | 2199-12-31 |
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