NCCI edits for CPT 72270
CMS lists 17 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 24 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.
- 00600 00600 denies
- 00620 00620 denies
- 00625 00625 denies
- 00626 00626 denies
- 00630 00630 denies
- 01937 01937 denies
- 01938 01938 denies
- 01939 01939 denies
- 01940 01940 denies
- 01941 01941 denies
- 01942 01942 denies
- 36591 36591 denies
- 36592 36592 denies
- 72240 72240 denies
- 72255 72255 denies
- 72265 72265 denies
- 96523 96523 denies
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.
- 62284 62284 denies
- 62302 72270 denies
- 62303 72270 denies
- 62304 72270 denies
- 62305 72270 denies
- 72125 72270 denies
- 72126 72270 denies
- 72127 72270 denies
- 72128 72270 denies
- 72129 72270 denies
- 72130 72270 denies
- 72131 72270 denies
- 72132 72270 denies
- 72133 72270 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.