NCCI Code Pairs — L3214
Complete listing of CMS National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edits involving HCPCS/CPT code L3214.
84 Total Edits
30 as Column 1
54 as Column 2
← View HCPCS L3214 Detail Page
Column 1 Pairs L3214 is the primary code
When L3214 is reported as the Column 1 (comprehensive) code, the paired Column 2 code is bundled and generally not separately payable.
Medicaid Facility — 10 pairs
| Paired Code |
Mod
Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
|
Rationale | Effective | End Date |
|---|---|---|---|---|
| L3540 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
More extensive procedure | 2014-01-01 | 2014-01-01 |
| L3530 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
More extensive procedure | 2014-01-01 | 2014-01-01 |
| L3460 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2014-01-01 | 2199-12-31 |
| L3455 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2014-01-01 | 2199-12-31 |
| L3265 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3213 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3212 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3211 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3209 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3208 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
Medicaid Practitioner — 10 pairs
| Paired Code |
Mod
Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
|
Rationale | Effective | End Date |
|---|---|---|---|---|
| L3208 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3209 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3211 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3212 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3213 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3265 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3455 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2014-01-01 | 2199-12-31 |
| L3460 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2014-01-01 | 2199-12-31 |
| L3530 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
More extensive procedure | 2014-01-01 | 2014-01-01 |
| L3540 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
More extensive procedure | 2014-01-01 | 2014-01-01 |
Medicare DME — 10 pairs
| Paired Code |
Mod
Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
|
Rationale | Effective | End Date |
|---|---|---|---|---|
| L3540 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
More extensive procedure | 2014-01-01 | 2014-01-01 |
| L3530 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
More extensive procedure | 2014-01-01 | 2014-01-01 |
| L3460 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2014-01-01 | 2199-12-31 |
| L3455 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
More extensive procedure | 2014-01-01 | 2199-12-31 |
| L3265 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3213 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3212 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3211 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3209 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3208 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
Column 2 Pairs L3214 is the bundled code
When L3214 is reported as the Column 2 (component) code, it is bundled into the Column 1 comprehensive code and generally not separately payable.
Medicaid Facility — 18 pairs
| Paired Code |
Mod
Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
|
Rationale | Effective | End Date |
|---|---|---|---|---|
| L3201 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3260 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3253 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3252 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3251 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3250 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3230 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3222 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3221 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3219 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3217 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3216 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3215 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3207 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3206 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3204 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3203 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3202 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
Medicaid Practitioner — 18 pairs
| Paired Code |
Mod
Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
|
Rationale | Effective | End Date |
|---|---|---|---|---|
| L3260 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3201 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3202 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3203 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3204 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3206 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3207 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3215 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3216 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3217 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3219 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3221 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3222 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3230 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3250 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3251 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3252 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3253 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
Medicare DME — 18 pairs
| Paired Code |
Mod
Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
|
Rationale | Effective | End Date |
|---|---|---|---|---|
| L3201 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3260 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3253 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3252 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3251 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3250 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3230 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3222 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3221 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3219 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3217 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3216 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3215 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3207 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3206 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3204 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3203 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3202 · CCI |
0
Modifier not allowed — codes cannot be reported together under any circumstances
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
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