NCCI edits for CPT 73200
CMS lists 4 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 16 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 2 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.
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.
- 0594T 73200 denies
- 0721T 73200 denies
- 0946T 0946T denies
- 20696 73200 denies
- 20697 73200 denies
- 73201 73200 denies
- 73202 73200 denies
- 73206 73200 denies
- 76380 76380 denies
- 77301 73200 denies
- 78811 73200 denies
- 78812 73200 denies
- 78813 73200 denies
- 78814 73200 denies
- 78815 73200 denies
- 78816 73200 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.