NCCI edits for 43213 Code page: https://localishealth.com/cpt/43213 NCCI release: 2026 D Source: https://www.cms.gov/medicare/coding-billing/national-correct-coding-initiative-ncci-edits NOT SEPARATELY PAYABLE TOGETHER—NO NCCI-ASSOCIATED MODIFIER BYPASSES THE EDIT (modifier indicator 0) 00520 43213 is Column One, 00520 is Column Two—00520 denies 00731 43213 is Column One, 00731 is Column Two—00731 denies 00732 43213 is Column One, 00732 is Column Two—00732 denies 00811 43213 is Column One, 00811 is Column Two—00811 denies 00812 43213 is Column One, 00812 is Column Two—00812 denies 00813 43213 is Column One, 00813 is Column Two—00813 denies 0213T 43213 is Column One, 0213T is Column Two—0213T denies 0216T 43213 is Column One, 0216T is Column Two—0216T denies 0652T 0652T is Column One, 43213 is Column Two—43213 denies 0653T 0653T is Column One, 43213 is Column Two—43213 denies 0654T 0654T is Column One, 43213 is Column Two—43213 denies 0884T 0884T is Column One, 43213 is Column Two—43213 denies 31505 43213 is Column One, 31505 is Column Two—31505 denies 31525 43213 is Column One, 31525 is Column Two—31525 denies 31575 43213 is Column One, 31575 is Column Two—31575 denies 36591 43213 is Column One, 36591 is Column Two—36591 denies 36592 43213 is Column One, 36592 is Column Two—36592 denies 43180 43180 is Column One, 43213 is Column Two—43213 denies 43191 43213 is Column One, 43191 is Column Two—43191 denies 43192 43213 is Column One, 43192 is Column Two—43192 denies 43193 43213 is Column One, 43193 is Column Two—43193 denies 43194 43213 is Column One, 43194 is Column Two—43194 denies 43195 43213 is Column One, 43195 is Column Two—43195 denies 43196 43196 is Column One, 43213 is Column Two—43213 denies 43197 43213 is Column One, 43197 is Column Two—43197 denies 43198 43213 is Column One, 43198 is Column Two—43198 denies 43200 43213 is Column One, 43200 is Column Two—43200 denies 43210 43210 is Column One, 43213 is Column Two—43213 denies 43212 43212 is Column One, 43213 is Column Two—43213 denies 43214 43214 is Column One, 43213 is Column Two—43213 denies 43220 43213 is Column One, 43220 is Column Two—43220 denies 43226 43213 is Column One, 43226 is Column Two—43226 denies 43229 43229 is Column One, 43213 is Column Two—43213 denies 43233 43233 is Column One, 43213 is Column Two—43213 denies 43235 43235 is Column One, 43213 is Column Two—43213 denies 43236 43236 is Column One, 43213 is Column Two—43213 denies 43237 43237 is Column One, 43213 is Column Two—43213 denies 43238 43238 is Column One, 43213 is Column Two—43213 denies 43239 43239 is Column One, 43213 is Column Two—43213 denies 43240 43240 is Column One, 43213 is Column Two—43213 denies 43241 43241 is Column One, 43213 is Column Two—43213 denies 43242 43242 is Column One, 43213 is Column Two—43213 denies 43243 43243 is Column One, 43213 is Column Two—43213 denies 43244 43244 is Column One, 43213 is Column Two—43213 denies 43245 43245 is Column One, 43213 is Column Two—43213 denies 43246 43246 is Column One, 43213 is Column Two—43213 denies 43247 43247 is Column One, 43213 is Column Two—43213 denies 43248 43248 is Column One, 43213 is Column Two—43213 denies 43249 43249 is Column One, 43213 is Column Two—43213 denies 43250 43250 is Column One, 43213 is Column Two—43213 denies 43251 43251 is Column One, 43213 is Column Two—43213 denies 43252 43252 is Column One, 43213 is Column Two—43213 denies 43253 43253 is Column One, 43213 is Column Two—43213 denies 43254 43254 is Column One, 43213 is Column Two—43213 denies 43255 43255 is Column One, 43213 is Column Two—43213 denies 43257 43257 is Column One, 43213 is Column Two—43213 denies 43259 43259 is Column One, 43213 is Column Two—43213 denies 43270 43270 is Column One, 43213 is Column Two—43213 denies 43327 43327 is Column One, 43213 is Column Two—43213 denies 43328 43328 is Column One, 43213 is Column Two—43213 denies 43450 43213 is Column One, 43450 is Column Two—43450 denies 43453 43213 is Column One, 43453 is Column Two—43453 denies 44360 43213 is Column One, 44360 is Column Two—44360 denies 44376 43213 is Column One, 44376 is Column Two—44376 denies 62320 43213 is Column One, 62320 is Column Two—62320 denies 62321 43213 is Column One, 62321 is Column Two—62321 denies 62322 43213 is Column One, 62322 is Column Two—62322 denies 62323 43213 is Column One, 62323 is Column Two—62323 denies 62324 43213 is Column One, 62324 is Column Two—62324 denies 62325 43213 is Column One, 62325 is Column Two—62325 denies 62326 43213 is Column One, 62326 is Column Two—62326 denies 62327 43213 is Column One, 62327 is Column Two—62327 denies 64400 43213 is Column One, 64400 is Column Two—64400 denies 64405 43213 is Column One, 64405 is Column Two—64405 denies 64408 43213 is Column One, 64408 is Column Two—64408 denies 64415 43213 is Column One, 64415 is Column Two—64415 denies 64416 43213 is Column One, 64416 is Column Two—64416 denies 64417 43213 is Column One, 64417 is Column Two—64417 denies 64418 43213 is Column One, 64418 is Column Two—64418 denies 64420 43213 is Column One, 64420 is Column Two—64420 denies 64421 43213 is Column One, 64421 is Column Two—64421 denies 64425 43213 is Column One, 64425 is Column Two—64425 denies 64430 43213 is Column One, 64430 is Column Two—64430 denies 64435 43213 is Column One, 64435 is Column Two—64435 denies 64445 43213 is Column One, 64445 is Column Two—64445 denies 64446 43213 is Column One, 64446 is Column Two—64446 denies 64447 43213 is Column One, 64447 is Column Two—64447 denies 64448 43213 is Column One, 64448 is Column Two—64448 denies 64449 43213 is Column One, 64449 is Column Two—64449 denies 64450 43213 is Column One, 64450 is Column Two—64450 denies 64451 43213 is Column One, 64451 is Column Two—64451 denies 64454 43213 is Column One, 64454 is Column Two—64454 denies 64461 43213 is Column One, 64461 is Column Two—64461 denies 64462 43213 is Column One, 64462 is Column Two—64462 denies 64463 43213 is Column One, 64463 is Column Two—64463 denies 64466 43213 is Column One, 64466 is Column Two—64466 denies 64467 43213 is Column One, 64467 is Column Two—64467 denies 64468 43213 is Column One, 64468 is Column Two—64468 denies 64469 43213 is Column One, 64469 is Column Two—64469 denies 64479 43213 is Column One, 64479 is Column Two—64479 denies 64480 43213 is Column One, 64480 is Column Two—64480 denies 64483 43213 is Column One, 64483 is Column Two—64483 denies 64484 43213 is Column One, 64484 is Column Two—64484 denies 64486 43213 is Column One, 64486 is Column Two—64486 denies 64487 43213 is Column One, 64487 is Column Two—64487 denies 64488 43213 is Column One, 64488 is Column Two—64488 denies 64489 43213 is Column One, 64489 is Column Two—64489 denies 64490 43213 is Column One, 64490 is Column Two—64490 denies 64491 43213 is Column One, 64491 is Column Two—64491 denies 64492 43213 is Column One, 64492 is Column Two—64492 denies 64493 43213 is Column One, 64493 is Column Two—64493 denies 64494 43213 is Column One, 64494 is Column Two—64494 denies 64495 43213 is Column One, 64495 is Column Two—64495 denies 64505 43213 is Column One, 64505 is Column Two—64505 denies 64510 43213 is Column One, 64510 is Column Two—64510 denies 64517 43213 is Column One, 64517 is Column Two—64517 denies 64520 43213 is Column One, 64520 is Column Two—64520 denies 64530 43213 is Column One, 64530 is Column Two—64530 denies 69990 43213 is Column One, 69990 is Column Two—69990 denies 74360 43213 is Column One, 74360 is Column Two—74360 denies 91040 43213 is Column One, 91040 is Column Two—91040 denies 92511 43213 is Column One, 92511 is Column Two—92511 denies 94760 43213 is Column One, 94760 is Column Two—94760 denies 94761 43213 is Column One, 94761 is Column Two—94761 denies 96523 43213 is Column One, 96523 is Column Two—96523 denies 99155 43213 is Column One, 99155 is Column Two—99155 denies 99156 43213 is Column One, 99156 is Column Two—99156 denies 99157 43213 is Column One, 99157 is Column Two—99157 denies 99446 43213 is Column One, 99446 is Column Two—99446 denies 99447 43213 is Column One, 99447 is Column Two—99447 denies 99448 43213 is Column One, 99448 is Column Two—99448 denies 99449 43213 is Column One, 99449 is Column Two—99449 denies 99451 43213 is Column One, 99451 is Column Two—99451 denies 99452 43213 is Column One, 99452 is Column Two—99452 denies BILLABLE TOGETHER ONLY WHEN AN NCCI-ASSOCIATED MODIFIER IS APPROPRIATE (modifier indicator 1) 0596T 43213 is Column One, 0596T is Column Two—0596T denies 0597T 43213 is Column One, 0597T is Column Two—0597T denies 0632T 43213 is Column One, 0632T is Column Two—0632T denies 0708T 43213 is Column One, 0708T is Column Two—0708T denies 0709T 43213 is Column One, 0709T is Column Two—0709T denies 0903T 43213 is Column One, 0903T is Column Two—0903T denies 0904T 43213 is Column One, 0904T is Column Two—0904T denies 0905T 43213 is Column One, 0905T is Column Two—0905T denies 12001 43213 is Column One, 12001 is Column Two—12001 denies 12002 43213 is Column One, 12002 is Column Two—12002 denies 12004 43213 is Column One, 12004 is Column Two—12004 denies 12005 43213 is Column One, 12005 is Column Two—12005 denies 12006 43213 is Column One, 12006 is Column Two—12006 denies 12007 43213 is Column One, 12007 is Column Two—12007 denies 12011 43213 is Column One, 12011 is Column Two—12011 denies 12013 43213 is Column One, 12013 is Column Two—12013 denies 12014 43213 is Column One, 12014 is Column Two—12014 denies 12015 43213 is Column One, 12015 is Column Two—12015 denies 12016 43213 is Column One, 12016 is Column Two—12016 denies 12017 43213 is Column One, 12017 is Column Two—12017 denies 12018 43213 is Column One, 12018 is Column Two—12018 denies 12020 43213 is Column One, 12020 is Column Two—12020 denies 12021 43213 is Column One, 12021 is Column Two—12021 denies 12031 43213 is Column One, 12031 is Column Two—12031 denies 12032 43213 is Column One, 12032 is Column Two—12032 denies 12034 43213 is Column One, 12034 is Column Two—12034 denies 12035 43213 is Column One, 12035 is Column Two—12035 denies 12036 43213 is Column One, 12036 is Column Two—12036 denies 12037 43213 is Column One, 12037 is Column Two—12037 denies 12041 43213 is Column One, 12041 is Column Two—12041 denies 12042 43213 is Column One, 12042 is Column Two—12042 denies 12044 43213 is Column One, 12044 is Column Two—12044 denies 12045 43213 is Column One, 12045 is Column Two—12045 denies 12046 43213 is Column One, 12046 is Column Two—12046 denies 12047 43213 is Column One, 12047 is Column Two—12047 denies 12051 43213 is Column One, 12051 is Column Two—12051 denies 12052 43213 is Column One, 12052 is Column Two—12052 denies 12053 43213 is Column One, 12053 is Column Two—12053 denies 12054 43213 is Column One, 12054 is Column Two—12054 denies 12055 43213 is Column One, 12055 is Column Two—12055 denies 12056 43213 is Column One, 12056 is Column Two—12056 denies 12057 43213 is Column One, 12057 is Column Two—12057 denies 13100 43213 is Column One, 13100 is Column Two—13100 denies 13101 43213 is Column One, 13101 is Column Two—13101 denies 13102 43213 is Column One, 13102 is Column Two—13102 denies 13120 43213 is Column One, 13120 is Column Two—13120 denies 13121 43213 is Column One, 13121 is Column Two—13121 denies 13122 43213 is Column One, 13122 is Column Two—13122 denies 13131 43213 is Column One, 13131 is Column Two—13131 denies 13132 43213 is Column One, 13132 is Column Two—13132 denies 13133 43213 is Column One, 13133 is Column Two—13133 denies 13151 43213 is Column One, 13151 is Column Two—13151 denies 13152 43213 is Column One, 13152 is Column Two—13152 denies 13153 43213 is Column One, 13153 is Column Two—13153 denies 36000 43213 is Column One, 36000 is Column Two—36000 denies 36005 43213 is Column One, 36005 is Column Two—36005 denies 36010 43213 is Column One, 36010 is Column Two—36010 denies 36011 43213 is Column One, 36011 is Column Two—36011 denies 36012 43213 is Column One, 36012 is Column Two—36012 denies 36013 43213 is Column One, 36013 is Column Two—36013 denies 36014 43213 is Column One, 36014 is Column Two—36014 denies 36015 43213 is Column One, 36015 is Column Two—36015 denies 36400 43213 is Column One, 36400 is Column Two—36400 denies 36405 43213 is Column One, 36405 is Column Two—36405 denies 36406 43213 is Column One, 36406 is Column Two—36406 denies 36410 43213 is Column One, 36410 is Column Two—36410 denies 36420 43213 is Column One, 36420 is Column Two—36420 denies 36425 43213 is Column One, 36425 is Column Two—36425 denies 36430 43213 is Column One, 36430 is Column Two—36430 denies 36440 43213 is Column One, 36440 is Column Two—36440 denies 36600 43213 is Column One, 36600 is Column Two—36600 denies 36640 43213 is Column One, 36640 is Column Two—36640 denies 43202 43213 is Column One, 43202 is Column Two—43202 denies 43227 43213 is Column One, 43227 is Column Two—43227 denies 43266 43266 is Column One, 43213 is Column Two—43213 denies 43280 43280 is Column One, 43213 is Column Two—43213 denies 43281 43281 is Column One, 43213 is Column Two—43213 denies 43282 43282 is Column One, 43213 is Column Two—43213 denies 43300 43300 is Column One, 43213 is Column Two—43213 denies 43305 43305 is Column One, 43213 is Column Two—43213 denies 43310 43310 is Column One, 43213 is Column Two—43213 denies 43312 43312 is Column One, 43213 is Column Two—43213 denies 43313 43313 is Column One, 43213 is Column Two—43213 denies 43314 43314 is Column One, 43213 is Column Two—43213 denies 43320 43320 is Column One, 43213 is Column Two—43213 denies 43325 43325 is Column One, 43213 is Column Two—43213 denies 43330 43330 is Column One, 43213 is Column Two—43213 denies 43331 43331 is Column One, 43213 is Column Two—43213 denies 43340 43340 is Column One, 43213 is Column Two—43213 denies 43341 43341 is Column One, 43213 is Column Two—43213 denies 43351 43351 is Column One, 43213 is Column Two—43213 denies 43352 43352 is Column One, 43213 is Column Two—43213 denies 43510 43510 is Column One, 43213 is Column Two—43213 denies 43610 43610 is Column One, 43213 is Column Two—43213 denies 43611 43611 is Column One, 43213 is Column Two—43213 denies 43620 43620 is Column One, 43213 is Column Two—43213 denies 43621 43621 is Column One, 43213 is Column Two—43213 denies 43622 43622 is Column One, 43213 is Column Two—43213 denies 43631 43631 is Column One, 43213 is Column Two—43213 denies 43632 43632 is Column One, 43213 is Column Two—43213 denies 43633 43633 is Column One, 43213 is Column Two—43213 denies 43634 43634 is Column One, 43213 is Column Two—43213 denies 43640 43640 is Column One, 43213 is Column Two—43213 denies 43641 43641 is Column One, 43213 is Column Two—43213 denies 43752 43213 is Column One, 43752 is Column Two—43752 denies 43753 43213 is Column One, 43753 is Column Two—43753 denies 43800 43800 is Column One, 43213 is Column Two—43213 denies 43810 43810 is Column One, 43213 is Column Two—43213 denies 43820 43820 is Column One, 43213 is Column Two—43213 denies 43825 43825 is Column One, 43213 is Column Two—43213 denies 43846 43846 is Column One, 43213 is Column Two—43213 denies 43847 43847 is Column One, 43213 is Column Two—43213 denies 43865 43865 is Column One, 43213 is Column Two—43213 denies 44370 44370 is Column One, 43213 is Column Two—43213 denies 44379 44379 is Column One, 43213 is Column Two—43213 denies 51701 43213 is Column One, 51701 is Column Two—51701 denies 51702 43213 is Column One, 51702 is Column Two—51702 denies 51703 43213 is Column One, 51703 is Column Two—51703 denies 64473 43213 is Column One, 64473 is Column Two—64473 denies 64474 43213 is Column One, 64474 is Column Two—64474 denies 69705 43213 is Column One, 69705 is Column Two—69705 denies 69706 43213 is Column One, 69706 is Column Two—69706 denies 76000 43213 is Column One, 76000 is Column Two—76000 denies 77001 43213 is Column One, 77001 is Column Two—77001 denies 77002 43213 is Column One, 77002 is Column Two—77002 denies 92012 43213 is Column One, 92012 is Column Two—92012 denies 92014 43213 is Column One, 92014 is Column Two—92014 denies 93000 43213 is Column One, 93000 is Column Two—93000 denies 93005 43213 is Column One, 93005 is Column Two—93005 denies 93010 43213 is Column One, 93010 is Column Two—93010 denies 93040 43213 is Column One, 93040 is Column Two—93040 denies 93041 43213 is Column One, 93041 is Column Two—93041 denies 93042 43213 is Column One, 93042 is Column Two—93042 denies 93318 43213 is Column One, 93318 is Column Two—93318 denies 93355 43213 is Column One, 93355 is Column Two—93355 denies 94002 43213 is Column One, 94002 is Column Two—94002 denies 94200 43213 is Column One, 94200 is Column Two—94200 denies 94680 43213 is Column One, 94680 is Column Two—94680 denies 94681 43213 is Column One, 94681 is Column Two—94681 denies 94690 43213 is Column One, 94690 is Column Two—94690 denies 95812 43213 is Column One, 95812 is Column Two—95812 denies 95813 43213 is Column One, 95813 is Column Two—95813 denies 95816 43213 is Column One, 95816 is Column Two—95816 denies 95819 43213 is Column One, 95819 is Column Two—95819 denies 95822 43213 is Column One, 95822 is Column Two—95822 denies 95829 43213 is Column One, 95829 is Column Two—95829 denies 95955 43213 is Column One, 95955 is Column Two—95955 denies 96360 43213 is Column One, 96360 is Column Two—96360 denies 96361 43213 is Column One, 96361 is Column Two—96361 denies 96365 43213 is Column One, 96365 is Column Two—96365 denies 96366 43213 is Column One, 96366 is Column Two—96366 denies 96367 43213 is Column One, 96367 is Column Two—96367 denies 96368 43213 is Column One, 96368 is Column Two—96368 denies 96372 43213 is Column One, 96372 is Column Two—96372 denies 96374 43213 is Column One, 96374 is Column Two—96374 denies 96375 43213 is Column One, 96375 is Column Two—96375 denies 96376 43213 is Column One, 96376 is Column Two—96376 denies 96377 43213 is Column One, 96377 is Column Two—96377 denies 96570 96570 is Column One, 43213 is Column Two—43213 denies 99152 43213 is Column One, 99152 is Column Two—99152 denies 99211 43213 is Column One, 99211 is Column Two—99211 denies 99212 43213 is Column One, 99212 is Column Two—99212 denies 99213 43213 is Column One, 99213 is Column Two—99213 denies 99214 43213 is Column One, 99214 is Column Two—99214 denies 99215 43213 is Column One, 99215 is Column Two—99215 denies 99221 43213 is Column One, 99221 is Column Two—99221 denies 99222 43213 is Column One, 99222 is Column Two—99222 denies 99223 43213 is Column One, 99223 is Column Two—99223 denies 99231 43213 is Column One, 99231 is Column Two—99231 denies 99232 43213 is Column One, 99232 is Column Two—99232 denies 99233 43213 is Column One, 99233 is Column Two—99233 denies 99234 43213 is Column One, 99234 is Column Two—99234 denies 99235 43213 is Column One, 99235 is Column Two—99235 denies 99236 43213 is Column One, 99236 is Column Two—99236 denies 99238 43213 is Column One, 99238 is Column Two—99238 denies 99239 43213 is Column One, 99239 is Column Two—99239 denies 99242 43213 is Column One, 99242 is Column Two—99242 denies 99243 43213 is Column One, 99243 is Column Two—99243 denies 99244 43213 is Column One, 99244 is Column Two—99244 denies 99245 43213 is Column One, 99245 is Column Two—99245 denies 99252 43213 is Column One, 99252 is Column Two—99252 denies 99253 43213 is Column One, 99253 is Column Two—99253 denies 99254 43213 is Column One, 99254 is Column Two—99254 denies 99255 43213 is Column One, 99255 is Column Two—99255 denies 99291 43213 is Column One, 99291 is Column Two—99291 denies 99292 43213 is Column One, 99292 is Column Two—99292 denies 99304 43213 is Column One, 99304 is Column Two—99304 denies 99305 43213 is Column One, 99305 is Column Two—99305 denies 99306 43213 is Column One, 99306 is Column Two—99306 denies 99307 43213 is Column One, 99307 is Column Two—99307 denies 99308 43213 is Column One, 99308 is Column Two—99308 denies 99309 43213 is Column One, 99309 is Column Two—99309 denies 99310 43213 is Column One, 99310 is Column Two—99310 denies 99315 43213 is Column One, 99315 is Column Two—99315 denies 99316 43213 is Column One, 99316 is Column Two—99316 denies 99347 43213 is Column One, 99347 is Column Two—99347 denies 99348 43213 is Column One, 99348 is Column Two—99348 denies 99349 43213 is Column One, 99349 is Column Two—99349 denies 99350 43213 is Column One, 99350 is Column Two—99350 denies 99374 43213 is Column One, 99374 is Column Two—99374 denies 99375 43213 is Column One, 99375 is Column Two—99375 denies 99377 43213 is Column One, 99377 is Column Two—99377 denies 99378 43213 is Column One, 99378 is Column Two—99378 denies C9901 C9901 is Column One, 43213 is Column Two—43213 denies G0463 43213 is Column One, G0463 is Column Two—G0463 denies G0471 43213 is Column One, G0471 is Column Two—G0471 denies MUE units per patient per date of service: 1