NCCI edits for CPT 72285
CMS lists 16 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 4 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.
- 00600 00600 denies
- 00620 00620 denies
- 00625 00625 denies
- 00626 00626 denies
- 01937 01937 denies
- 01938 01938 denies
- 01939 01939 denies
- 01940 01940 denies
- 01941 01941 denies
- 01942 01942 denies
- 0274T 72285 denies
- 36591 36591 denies
- 36592 36592 denies
- 63020 72285 denies
- 63040 72285 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.
- 22220 72285 denies
- 22222 72285 denies
- 22532 72285 denies
- 22551 72285 denies
- 22554 72285 denies
- 22556 72285 denies
- 63001 72285 denies
- 63003 72285 denies
- 63015 72285 denies
- 63016 72285 denies
- 63055 72285 denies
- 63064 72285 denies
- 63075 72285 denies
- 63077 72285 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.