NCCI edits for CPT 43288
CMS lists 126 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 191 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.
- 00520 00520 denies
- 00528 00528 denies
- 00529 00529 denies
- 00539 00539 denies
- 00540 00540 denies
- 00541 00541 denies
- 0213T 0213T denies
- 0216T 0216T denies
- 32601 32601 denies
- 32604 32604 denies
- 32606 32606 denies
- 32607 32607 denies
- 32608 32608 denies
- 32609 32609 denies
- 32662 32662 denies
- 32665 32665 denies
- 36591 36591 denies
- 36592 36592 denies
- 38746 38746 denies
- 38747 38747 denies
- 39200 43288 denies
- 39220 43288 denies
- 43107 43107 denies
- 43108 43288 denies
- 43112 43112 denies
- 43113 43288 denies
- 43116 43288 denies
- 43117 43117 denies
- 43118 43118 denies
- 43121 43121 denies
- 43122 43122 denies
- 43123 43288 denies
- 43124 43288 denies
- 43210 43210 denies
- 43279 43279 denies
- 43280 43280 denies
- 43281 43281 denies
- 43282 43282 denies
- 43284 43284 denies
- 43285 43285 denies
- 43286 43286 denies
- 43287 43287 denies
- 43325 43288 denies
- 43327 43288 denies
- 43328 43288 denies
- 43330 43288 denies
- 43331 43288 denies
- 43653 43653 denies
- 43830 43830 denies
- 44005 44005 denies
Showing 50 of 126. 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
- 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
- 12054 12054 denies
- 12055 12055 denies
Showing 50 of 191. 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.