NCCI edits for CPT 72255
CMS lists 15 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 22 pairs with modifier indicator 1, where an NCCI-associated modifier may be allowed when the documentation supports it.
NCCI release: Q3 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.
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.
- 0566T 72255 denies
- 20610 72255 denies
- 20611 72255 denies
- 20704 72255 denies
- 62284 62284 denies
- 62302 72255 denies
- 62303 72255 denies
- 62304 72255 denies
- 62305 72255 denies
- 72128 72255 denies
- 72129 72255 denies
- 72130 72255 denies
- 76000 76000 denies
- 77001 77001 denies
- 77002 77002 denies
- 77003 77003 denies
- 99446 99446 denies
- 99447 99447 denies
- 99448 99448 denies
- 99449 99449 denies
- 99451 99451 denies
- 99452 99452 denies
NCCI edits are not a coverage determination or a substitute for the current CMS NCCI Policy Manual. Deleted pairs are excluded from this page.