NCCI Code Pairs — S5497

Complete listing of CMS National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edits involving HCPCS/CPT code S5497.

4 Total Edits 4 as Column 1

Column 1 Pairs S5497 is the primary code

When S5497 is reported as the Column 1 (comprehensive) code, the paired Column 2 code is bundled 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
S5517 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2013-04-01	2199-12-31
S9810 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	HCPCS/CPT procedure code definition	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
S5517 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2013-04-01	2199-12-31
S9810 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	HCPCS/CPT procedure code definition	2013-04-01	2199-12-31

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