NCCI edits for CPT 72295
CMS lists 17 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 34 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 5 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.
- 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
- 62287 72295 denies
- 62380 72295 denies
- 63030 72295 denies
- 63042 72295 denies
- 63052 72295 denies
- 63053 72295 denies
- 96523 96523 denies
- G0276 72295 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.
- 0490T 72295 denies
- 0566T 72295 denies
- 0718T 72295 denies
- 11042 72295 denies
- 20527 72295 denies
- 20550 72295 denies
- 20551 20551 denies
- 20552 20552 denies
- 20553 20553 denies
- 20560 20560 denies
- 20561 20561 denies
- 20610 72295 denies
- 20611 72295 denies
- 20704 72295 denies
- 22224 72295 denies
- 22533 72295 denies
- 22558 72295 denies
- 22586 72295 denies
- 22857 72295 denies
- 22862 72295 denies
- 22865 72295 denies
- 63005 72295 denies
- 63017 72295 denies
- 63056 72295 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.