NCCI edits for CPT 33243
CMS lists 101 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 232 pairs with modifier indicator 1, where an NCCI-associated modifier may be allowed when the documentation supports it.
NCCI release: Q4 2026. Source: CMS National Correct Coding Initiative (NCCI) Edits. Complete plain-text list.
Check a paired code Copy link
Medically Unlikely Edit (MUE) Copy link
The published MUE is 1 unit per patient per date of service.
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: the Column Two code is denied and the Column One code is paid.
- 00530 00530 denies
- 00534 00534 denies
- 0213T 0213T denies
- 0216T 0216T denies
- 0571T 33243 denies
- 0572T 33243 denies
- 0573T 33243 denies
- 0574T 33243 denies
- 0575T 33243 denies
- 0576T 33243 denies
- 0577T 33243 denies
- 0578T 33243 denies
- 0579T 33243 denies
- 0580T 33243 denies
- 0919T 0919T denies
- 0920T 0920T denies
- 0921T 0921T denies
- 0922T 0922T denies
- 0923T 0923T denies
- 0924T 0924T denies
- 0925T 0925T denies
- 0926T 0926T denies
- 0927T 0927T denies
- 0928T 0928T denies
- 0929T 0929T denies
- 0930T 0930T denies
- 0931T 0931T denies
- 33140 33140 denies
- 33210 33210 denies
- 33211 33211 denies
- 33267 33267 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
Showing 50 of 101. The plain-text version contains every pair.
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.
- 0515T 33243 denies
- 0516T 33243 denies
- 0517T 33243 denies
- 0521T 0521T denies
- 0522T 0522T denies
- 0525T 0525T denies
- 0526T 0526T denies
- 0527T 0527T denies
- 0528T 0528T denies
- 0529T 0529T denies
- 0596T 0596T denies
- 0597T 0597T denies
- 0632T 0632T denies
- 0650T 0650T denies
- 0695T 33243 denies
- 0708T 0708T denies
- 0709T 0709T denies
- 0903T 0903T denies
- 0904T 0904T denies
- 0905T 0905T denies
- 0915T 0915T denies
- 0916T 0916T denies
- 0917T 0917T denies
- 0918T 0918T denies
- 0934T 0934T 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
- 12011 12011 denies
- 12013 12013 denies
- 12014 12014 denies
- 12015 12015 denies
- 12016 12016 denies
- 12017 12017 denies
- 12018 12018 denies
- 12020 12020 denies
Showing 50 of 232. 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.