NCCI edits for CPT 38573
CMS lists 128 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 186 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.
- 0213T 0213T denies
- 0216T 0216T denies
- 0664T 0664T denies
- 0665T 0665T denies
- 0667T 0667T denies
- 36591 36591 denies
- 36592 36592 denies
- 38562 38562 denies
- 38564 38564 denies
- 38570 38570 denies
- 38571 38571 denies
- 38572 38572 denies
- 38765 38765 denies
- 38770 38770 denies
- 38780 38780 denies
- 44950 44950 denies
- 45126 38573 denies
- 49255 49255 denies
- 49320 49320 denies
- 49326 49326 denies
- 49400 49400 denies
- 51570 38573 denies
- 51575 38573 denies
- 51580 38573 denies
- 51585 38573 denies
- 51590 38573 denies
- 51595 38573 denies
- 51597 38573 denies
- 54135 38573 denies
- 55810 38573 denies
- 55812 38573 denies
- 55815 38573 denies
- 55840 38573 denies
- 55842 38573 denies
- 55845 38573 denies
- 55860 55860 denies
- 55862 55862 denies
- 55865 38573 denies
- 56640 38573 denies
- 57109 38573 denies
- 57531 38573 denies
- 58150 58150 denies
- 58152 38573 denies
- 58180 58180 denies
- 58200 38573 denies
- 58210 38573 denies
- 58240 38573 denies
- 58541 58541 denies
- 58542 58542 denies
- 58543 58543 denies
Showing 50 of 128. 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.
- 0596T 0596T denies
- 0597T 0597T denies
- 0708T 0708T denies
- 0709T 0709T denies
- 0903T 0903T denies
- 0904T 0904T denies
- 0905T 0905T denies
- 10005 10005 denies
- 10007 10007 denies
- 10009 10009 denies
- 10011 10011 denies
- 10021 10021 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
- 12021 12021 denies
- 12031 12031 denies
- 12032 12032 denies
- 12034 12034 denies
- 12035 12035 denies
- 12036 12036 denies
- 12037 12037 denies
- 12041 12041 denies
- 12042 12042 denies
- 12044 12044 denies
- 12045 12045 denies
- 12046 12046 denies
- 12047 12047 denies
Showing 50 of 186. 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.