NCCI Code Pairs — T1004

Complete listing of CMS National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edits involving HCPCS/CPT code T1004.

4 Total Edits 4 as Column 2

Column 2 Pairs T1004 is the bundled code

When T1004 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
S9122 · CCI	1 Modifier allowed — a NCCI-associated modifier may permit separate reporting	More extensive procedure	2013-04-01	2199-12-31
T1021 · 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
S9122 · CCI	1 Modifier allowed — a NCCI-associated modifier may permit separate reporting	More extensive procedure	2013-04-01	2199-12-31
T1021 · 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.