NCCI edits for CPT 43754
CMS lists 99 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 429 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
- 0652T 43754 denies
- 0653T 43754 denies
- 0654T 43754 denies
- 36591 36591 denies
- 36592 36592 denies
- 43210 43754 denies
- 43233 43754 denies
- 43235 43754 denies
- 43236 43754 denies
- 43237 43754 denies
- 43238 43754 denies
- 43239 43754 denies
- 43240 43754 denies
- 43241 43754 denies
- 43242 43754 denies
- 43243 43754 denies
- 43244 43754 denies
- 43245 43754 denies
- 43246 43754 denies
- 43247 43754 denies
- 43248 43754 denies
- 43249 43754 denies
- 43250 43754 denies
- 43251 43754 denies
- 43252 43754 denies
- 43253 43754 denies
- 43254 43754 denies
- 43255 43754 denies
- 43257 43754 denies
- 43259 43754 denies
- 43266 43754 denies
- 43270 43754 denies
- 43753 43753 denies
- 43755 43754 denies
- 43756 43754 denies
- 43757 43754 denies
- 62320 62320 denies
- 62321 62321 denies
- 62322 62322 denies
- 62323 62323 denies
- 62324 62324 denies
- 62325 62325 denies
- 62326 62326 denies
- 62327 62327 denies
- 64400 64400 denies
- 64405 64405 denies
- 64408 64408 denies
- 64415 64415 denies
Showing 50 of 99. 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 43754 denies
- 00102 43754 denies
- 00103 43754 denies
- 00104 43754 denies
- 00120 43754 denies
- 00124 43754 denies
- 00126 43754 denies
- 00140 43754 denies
- 00142 43754 denies
- 00144 43754 denies
- 00145 43754 denies
- 00147 43754 denies
- 00148 43754 denies
- 00160 43754 denies
- 00162 43754 denies
- 00164 43754 denies
- 00170 43754 denies
- 00172 43754 denies
- 00174 43754 denies
- 00176 43754 denies
- 00190 43754 denies
- 00192 43754 denies
- 00210 43754 denies
- 00211 43754 denies
- 00212 43754 denies
- 00214 43754 denies
- 00215 43754 denies
- 00216 43754 denies
- 00218 43754 denies
- 00220 43754 denies
- 00222 43754 denies
- 00300 43754 denies
- 00320 43754 denies
- 00322 43754 denies
- 00326 43754 denies
- 00350 43754 denies
- 00352 43754 denies
- 00400 43754 denies
- 00402 43754 denies
- 00404 43754 denies
- 00406 43754 denies
- 00410 43754 denies
- 00450 43754 denies
- 00454 43754 denies
- 00470 43754 denies
- 00472 43754 denies
- 00474 43754 denies
- 00500 43754 denies
- 00520 43754 denies
- 00522 43754 denies
Showing 50 of 429. 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.