NCCI Code Pairs — S9131

Complete listing of CMS National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edits involving HCPCS/CPT code S9131.

60 Total Edits 60 as Column 1

← View HCPCS S9131 Detail Page

Column 1 Pairs S9131 is the primary code

When S9131 is reported as the Column 1 (comprehensive) code, the paired Column 2 code is bundled and generally not separately payable.

Medicaid Facility — 30 pairs

Paired Code	Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A	Rationale	Effective	End Date
97110 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2020-10-01	2199-12-31
97116 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2020-10-01	2199-12-31
97112 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2020-10-01	2199-12-31
97535 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2020-10-01	2199-12-31
97032 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2013-04-01	2199-12-31
97033 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2013-04-01	2199-12-31
97034 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2013-04-01	2199-12-31
97035 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2013-04-01	2199-12-31
97110 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2013-04-01	2019-12-31
97112 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2013-04-01	2019-12-31
97018 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2013-04-01	2199-12-31
97024 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2013-04-01	2199-12-31
97026 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2013-04-01	2199-12-31
97028 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2013-04-01	2199-12-31
97012 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2013-04-01	2199-12-31
97014 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2013-04-01	2199-12-31
97016 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2013-04-01	2199-12-31
97022 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2013-04-01	2199-12-31
97113 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2013-04-01	2199-12-31
97116 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2013-04-01	2019-12-31
97124 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2013-04-01	2199-12-31
97140 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2013-04-01	2199-12-31
97150 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2013-04-01	2199-12-31
97530 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2013-04-01	2199-12-31
97532 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2013-04-01	2017-12-31
97533 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2013-04-01	2199-12-31
97010 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2013-04-01	2199-12-31
97535 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2013-04-01	2019-12-31
97537 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2013-04-01	2199-12-31
S8990 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2013-04-01	2199-12-31

Medicaid Practitioner — 30 pairs

Paired Code	Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A	Rationale	Effective	End Date
97116 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2020-10-01	2199-12-31
97535 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2020-10-01	2199-12-31
97112 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2020-10-01	2199-12-31
97110 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2020-10-01	2199-12-31
S8990 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2013-04-01	2199-12-31
97010 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2013-04-01	2199-12-31
97012 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2013-04-01	2199-12-31
97014 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2013-04-01	2199-12-31
97016 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2013-04-01	2199-12-31
97018 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2013-04-01	2199-12-31
97022 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2013-04-01	2199-12-31
97024 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2013-04-01	2199-12-31
97026 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2013-04-01	2199-12-31
97028 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2013-04-01	2199-12-31
97032 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2013-04-01	2199-12-31
97033 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2013-04-01	2199-12-31
97034 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2013-04-01	2199-12-31
97035 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2013-04-01	2199-12-31
97110 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2013-04-01	2019-12-31
97112 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2013-04-01	2019-12-31
97113 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2013-04-01	2199-12-31
97116 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2013-04-01	2019-12-31
97124 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2013-04-01	2199-12-31
97140 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2013-04-01	2199-12-31
97150 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2013-04-01	2199-12-31
97530 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2013-04-01	2199-12-31
97532 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2013-04-01	2017-12-31
97533 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2013-04-01	2199-12-31
97535 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2013-04-01	2019-12-31
97537 · CCI	0 Modifier not allowed — codes cannot be reported together under any circumstances	More extensive procedure	2013-04-01	2199-12-31

Automate NCCI edit checking

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

Try Bedrock Billing for Free