NCCI Code Pairs — L3224
Complete listing of CMS National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edits involving HCPCS/CPT code L3224.
75 Total Edits
69 as Column 1
6 as Column 2
← View HCPCS L3224 Detail Page
Column 1 Pairs L3224 is the primary code
When L3224 is reported as the Column 1 (comprehensive) code, the paired Column 2 code is bundled and generally not separately payable.
Medicaid Facility — 23 pairs
| Paired Code |
Mod
Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
|
Rationale | Effective | End Date |
|---|---|---|---|---|
| A5512 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2014-04-01 | 2199-12-31 |
| A5513 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2014-04-01 | 2199-12-31 |
| A5503 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2014-04-01 | 2199-12-31 |
| A5504 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2014-04-01 | 2199-12-31 |
| A5505 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2014-04-01 | 2199-12-31 |
| A5506 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2014-04-01 | 2199-12-31 |
| A5507 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2014-04-01 | 2199-12-31 |
| A5508 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2014-04-01 | 2199-12-31 |
| A5510 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2014-04-01 | 2199-12-31 |
| L3215 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| 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Not applicable — edit has been deleted or is no longer active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Not applicable — edit has been deleted or is no longer active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 |
| L3252 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3251 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
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 |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
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 |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3216 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
Medicaid Practitioner — 23 pairs
| Paired Code |
Mod
Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
|
Rationale | Effective | End Date |
|---|---|---|---|---|
| A5504 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2014-04-01 | 2199-12-31 |
| A5513 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2014-04-01 | 2199-12-31 |
| A5512 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2014-04-01 | 2199-12-31 |
| A5510 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2014-04-01 | 2199-12-31 |
| A5508 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2014-04-01 | 2199-12-31 |
| A5507 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2014-04-01 | 2199-12-31 |
| A5506 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2014-04-01 | 2199-12-31 |
| A5505 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2014-04-01 | 2199-12-31 |
| A5503 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2014-04-01 | 2199-12-31 |
| L3540 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
More extensive procedure | 2014-01-01 | 2014-01-01 |
| L3215 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3216 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3217 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
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 |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
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 |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3252 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
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 |
Medicare DME — 23 pairs
| Paired Code |
Mod
Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
|
Rationale | Effective | End Date |
|---|---|---|---|---|
| A5510 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2014-04-01 | 2199-12-31 |
| A5508 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2014-04-01 | 2199-12-31 |
| A5507 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2014-04-01 | 2199-12-31 |
| A5506 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2014-04-01 | 2199-12-31 |
| A5505 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2014-04-01 | 2199-12-31 |
| A5504 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2014-04-01 | 2199-12-31 |
| A5503 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2014-04-01 | 2199-12-31 |
| A5513 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2014-04-01 | 2199-12-31 |
| A5512 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Misuse of Column Two code with Column One code | 2014-04-01 | 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 |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3215 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3216 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| 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 |
| L3252 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Mutually exclusive procedures | 2014-01-01 | 2199-12-31 |
| L3251 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
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 |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
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 |
Column 2 Pairs L3224 is the bundled code
When L3224 is reported as the Column 2 (component) code, it is bundled into the Column 1 comprehensive code and generally not separately payable.
Medicaid Facility — 2 pairs
| Paired Code |
Mod
Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
|
Rationale | Effective | End Date |
|---|---|---|---|---|
| A5500 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Mutually exclusive procedures | 2014-04-01 | 2199-12-31 |
| A5501 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Mutually exclusive procedures | 2014-04-01 | 2199-12-31 |
Medicaid Practitioner — 2 pairs
| Paired Code |
Mod
Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
|
Rationale | Effective | End Date |
|---|---|---|---|---|
| A5501 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Mutually exclusive procedures | 2014-04-01 | 2199-12-31 |
| A5500 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Mutually exclusive procedures | 2014-04-01 | 2199-12-31 |
Medicare DME — 2 pairs
| Paired Code |
Mod
Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
|
Rationale | Effective | End Date |
|---|---|---|---|---|
| A5501 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Mutually exclusive procedures | 2014-04-01 | 2199-12-31 |
| A5500 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Mutually exclusive procedures | 2014-04-01 | 2199-12-31 |
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