NCCI edits for CPT 43752
CMS lists 53 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 6,193 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 2 units 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.
- 36591 36591 denies
- 36592 36592 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
- 64425 64425 denies
- 64430 64430 denies
- 64435 64435 denies
- 64445 64445 denies
- 64446 64446 denies
- 64447 64447 denies
- 64448 64448 denies
- 64449 64449 denies
- 64450 64450 denies
- 64461 64461 denies
- 64463 64463 denies
- 64479 64479 denies
- 64480 64480 denies
- 64483 64483 denies
- 64484 64484 denies
- 64486 64486 denies
- 64487 64487 denies
- 64488 64488 denies
- 64489 64489 denies
- 64490 64490 denies
- 64491 64491 denies
- 64492 64492 denies
- 64493 64493 denies
- 64494 64494 denies
- 64495 64495 denies
- 64505 64505 denies
- 64510 64510 denies
- 64517 64517 denies
- 64520 64520 denies
- 64530 64530 denies
- 74251 43752 denies
- 74340 43752 denies
- 96523 96523 denies
- 99155 99155 denies
- 99156 99156 denies
- 99157 99157 denies
- 99446 99446 denies
- 99447 99447 denies
- 99448 99448 denies
Showing 50 of 53. 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.
- 00100 43752 denies
- 00102 43752 denies
- 00103 43752 denies
- 00104 43752 denies
- 00120 43752 denies
- 00124 43752 denies
- 00126 43752 denies
- 00140 43752 denies
- 00142 43752 denies
- 00144 43752 denies
- 00145 43752 denies
- 00147 43752 denies
- 00148 43752 denies
- 00160 43752 denies
- 00162 43752 denies
- 00164 43752 denies
- 00170 43752 denies
- 00172 43752 denies
- 00174 43752 denies
- 00176 43752 denies
- 00190 43752 denies
- 00192 43752 denies
- 00210 43752 denies
- 00211 43752 denies
- 00212 43752 denies
- 00214 43752 denies
- 00215 43752 denies
- 00216 43752 denies
- 00218 43752 denies
- 00220 43752 denies
- 00222 43752 denies
- 00300 43752 denies
- 00320 43752 denies
- 00322 43752 denies
- 00326 43752 denies
- 00350 43752 denies
- 00352 43752 denies
- 00400 43752 denies
- 00402 43752 denies
- 00404 43752 denies
- 00406 43752 denies
- 00410 43752 denies
- 00450 43752 denies
- 00454 43752 denies
- 00470 43752 denies
- 00472 43752 denies
- 00474 43752 denies
- 00500 43752 denies
- 00520 43752 denies
- 00522 43752 denies
Showing 50 of 6,193. 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.