NCCI BUNDLING CHECKER

Do these two codes bundle?

Paste a CPT pair. Get the NCCI Procedure-to-Procedure verdict, the modifier indicator, and the modifier path that may bypass the edit when clinically supported.

NCCI Verdict

No NCCI edit found

99213 and 17000 have no documented NCCI Procedure-to-Procedure edit. They can typically be billed together. Always verify against your payer's policy and the current NCCI quarterly update.

99213
E/M
Established patient office visit, low MDM or 20-29 minutes
Total RVU 2.85 · CF $33.4009
17000
Anesthesia
Destruct premalg lesion
Total RVU 1.99 · CF $33.4009
Run another check or explore the codes:
READ THE INDICATORS

What the modifier indicator means

0
Hard bundle

The two codes cannot be unbundled under any circumstance. No modifier bypass is allowed. Bill only the column 1 code; write off the column 2 charge or do not submit it.

1
Modifier may bypass

A modifier (typically 59 or an X-modifier: XE, XS, XP, XU) can bypass the edit when documentation supports a distinct, separately identifiable service. Documentation is the deciding factor.

9
Not applicable

No modifier indicator is applicable to this code pair. The pair may not require a modifier decision, or the edit was retired by CMS. Always verify against the current NCCI quarterly file.

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