NCCI Code Pairs — M0245
Complete listing of CMS National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edits involving HCPCS/CPT code M0245.
16 Total Edits
8 as Column 1
8 as Column 2
← View HCPCS M0245 Detail Page
Column 1 Pairs M0245 is the primary code
When M0245 is reported as the Column 1 (comprehensive) code, the paired Column 2 code is bundled and generally not separately payable.
Medicare Facility (Hospital Outpatient) — 2 pairs
| Paired Code |
Mod
Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
|
Rationale | Effective | End Date |
|---|---|---|---|---|
| Q0243 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Mutually exclusive procedures | 2021-07-01 | 2021-07-01 |
| Q0245 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Mutually exclusive procedures | 2021-07-01 | 2021-07-01 |
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 |
|---|---|---|---|---|
| Q0243 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Mutually exclusive procedures | 2021-07-01 | 2021-07-01 |
| Q0245 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Mutually exclusive procedures | 2021-07-01 | 2021-07-01 |
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 |
|---|---|---|---|---|
| Q0243 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Mutually exclusive procedures | 2021-07-01 | 2021-07-01 |
| Q0245 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Mutually exclusive procedures | 2021-07-01 | 2021-07-01 |
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 |
|---|---|---|---|---|
| Q0243 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Mutually exclusive procedures | 2021-07-01 | 2021-07-01 |
| Q0245 · CCI |
9
Not applicable — edit has been deleted or is no longer active
|
Mutually exclusive procedures | 2021-07-01 | 2021-07-01 |
Column 2 Pairs M0245 is the bundled code
When M0245 is reported as the Column 2 (component) code, it is bundled into the Column 1 comprehensive code and generally not separately payable.
Medicare Facility (Hospital Outpatient) — 2 pairs
| Paired Code |
Mod
Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
|
Rationale | Effective | End Date |
|---|---|---|---|---|
| M0222 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Mutually exclusive procedures | 2023-01-01 | 2025-03-31 |
| M0243 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Mutually exclusive procedures | 2021-07-01 | 2025-09-30 |
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 |
|---|---|---|---|---|
| M0222 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Mutually exclusive procedures | 2023-01-01 | 2025-03-31 |
| M0243 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Mutually exclusive procedures | 2021-07-01 | 2025-09-30 |
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 |
|---|---|---|---|---|
| M0222 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Mutually exclusive procedures | 2023-01-01 | 2025-03-31 |
| M0243 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Mutually exclusive procedures | 2021-07-01 | 2025-09-30 |
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 |
|---|---|---|---|---|
| M0222 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Mutually exclusive procedures | 2023-01-01 | 2025-03-31 |
| M0243 · CCI |
1
Modifier allowed — a NCCI-associated modifier may permit separate reporting
|
Mutually exclusive procedures | 2021-07-01 | 2025-09-30 |
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