NCCI edits for CPT 43241
CMS lists 121 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 212 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
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.
- 00520 00520 denies
- 00731 00731 denies
- 00732 00732 denies
- 00811 00811 denies
- 00812 00812 denies
- 00813 00813 denies
- 0213T 0213T denies
- 0216T 0216T denies
- 0652T 0652T denies
- 0654T 0654T denies
- 0813T 0813T denies
- 31505 31505 denies
- 31525 31525 denies
- 31575 31575 denies
- 36591 36591 denies
- 36592 36592 denies
- 43180 43180 denies
- 43191 43191 denies
- 43192 43192 denies
- 43193 43241 denies
- 43194 43241 denies
- 43195 43241 denies
- 43196 43241 denies
- 43197 43197 denies
- 43198 43198 denies
- 43200 43200 denies
- 43201 43201 denies
- 43202 43202 denies
- 43204 43204 denies
- 43205 43205 denies
- 43206 43206 denies
- 43210 43210 denies
- 43211 43211 denies
- 43212 43212 denies
- 43213 43213 denies
- 43214 43214 denies
- 43215 43215 denies
- 43216 43216 denies
- 43217 43217 denies
- 43220 43220 denies
- 43226 43226 denies
- 43227 43227 denies
- 43229 43229 denies
- 43231 43231 denies
- 43232 43232 denies
- 43235 43235 denies
- 43240 43241 denies
- 43266 43241 denies
- 43754 43754 denies
- 43756 43756 denies
Showing 50 of 121. 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
- 0632T 0632T denies
- 0708T 0708T denies
- 0709T 0709T denies
- 0884T 43241 denies
- 0903T 0903T denies
- 0904T 0904T denies
- 0905T 0905T 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
- 12051 12051 denies
- 12052 12052 denies
- 12053 12053 denies
Showing 50 of 212. 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.