NCCI Code Pairs — S5125

Complete listing of CMS National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edits involving HCPCS/CPT code S5125.

4 Total Edits 4 as Column 2

Column 2 Pairs S5125 is the bundled code

When S5125 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
S5126 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2013-04-01	2199-12-31
T1020 · CCI	1 Modifier allowed — a NCCI-associated modifier may permit separate reporting	More extensive procedure	2013-04-01	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
S5126 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2013-04-01	2199-12-31
T1020 · CCI	1 Modifier allowed — a NCCI-associated modifier may permit separate reporting	More extensive procedure	2013-04-01	2199-12-31

Bedrock Billing validates CCI code pairs, modifier requirements, and bundling logic automatically.