NCCI edits for CPT 15272
CMS lists 50 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 139 pairs with modifier indicator 1, where an NCCI-associated modifier may be allowed when the documentation supports it.
NCCI release: Q3 2026. Source: CMS National Correct Coding Initiative (NCCI) Edits. Complete plain-text list.
Check a paired code Copy link
Not separately payable together Copy link
Modifier indicator 0: the edit cannot be bypassed with an NCCI-associated modifier. Each row names the code that denies—CMS writes every edit as an ordered pair, and it is the Column Two code that is denied while Column One is paid.
- 01951 01951 denies
- 01952 01952 denies
- 0213T 0213T denies
- 0216T 0216T denies
- 15273 15272 denies
- 15274 15272 denies
- 36591 36591 denies
- 36592 36592 denies
- 62320 62320 denies
- 62321 62321 denies
- 62322 62322 denies
- 62323 62323 denies
- 62324 62324 denies
- 62325 62325 denies
- 62326 62326 denies
- 62327 62327 denies
- 64400 64400 denies
- 64405 64405 denies
- 64408 64408 denies
- 64415 64415 denies
- 64416 64416 denies
- 64417 64417 denies
- 64418 64418 denies
- 64420 64420 denies
- 64421 64421 denies
- 64425 64425 denies
- 64430 64430 denies
- 64435 64435 denies
- 64445 64445 denies
- 64446 64446 denies
- 64447 64447 denies
- 64448 64448 denies
- 64449 64449 denies
- 64451 64451 denies
- 64461 64461 denies
- 64463 64463 denies
- 64479 64479 denies
- 64483 64483 denies
- 64490 64490 denies
- 64493 64493 denies
- 64505 64505 denies
- 64510 64510 denies
- 64517 64517 denies
- 64520 64520 denies
- 64530 64530 denies
- 69990 69990 denies
- 96523 96523 denies
- 99155 99155 denies
- 99156 99156 denies
- 99157 99157 denies
Modifier may be allowed Copy link
Modifier indicator 1: an NCCI-associated modifier may be used when the circumstances and documentation support it. Each row names the Column Two code, which is the one denied absent an allowed modifier.
- 0596T 0596T denies
- 0597T 0597T denies
- 11000 11000 denies
- 11001 11001 denies
- 11004 11004 denies
- 11005 11005 denies
- 11006 11006 denies
- 11042 11042 denies
- 11043 11043 denies
- 11044 11044 denies
- 11045 11045 denies
- 11046 11046 denies
- 11047 11047 denies
- 12001 12001 denies
- 12002 12002 denies
- 12004 12004 denies
- 12005 12005 denies
- 12006 12006 denies
- 12007 12007 denies
- 12020 12020 denies
- 12021 12021 denies
- 12031 12031 denies
- 12032 12032 denies
- 12034 12034 denies
- 12035 12035 denies
- 12036 12036 denies
- 12037 12037 denies
- 13100 13100 denies
- 13101 13101 denies
- 13120 13120 denies
- 13121 13121 denies
- 15777 15777 denies
- 15852 15852 denies
- 16020 16020 denies
- 16025 16025 denies
- 16030 16030 denies
- 29000 29000 denies
- 29010 29010 denies
- 29015 29015 denies
- 29035 29035 denies
- 29040 29040 denies
- 29044 29044 denies
- 29046 29046 denies
- 29049 29049 denies
- 29055 29055 denies
- 29058 29058 denies
- 29065 29065 denies
- 29075 29075 denies
- 29085 29085 denies
- 29086 29086 denies
Showing 50 of 139. The plain-text version contains every pair.
NCCI edits are not a coverage determination or a substitute for the current CMS NCCI Policy Manual. Deleted pairs are excluded from this page.