NCCI edits for CPT 74263
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: 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: 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.
- 01922 01922 denies
- 0558T 0558T denies
- 0694T 0694T denies
- 0721T 74263 denies
- 0868T 0868T denies
- 72192 72192 denies
- 72193 72193 denies
- 72194 72194 denies
- 74150 74150 denies
- 74160 74160 denies
- 74170 74170 denies
- 74261 74263 denies
- 74262 74263 denies
- 76000 76000 denies
- 76376 76376 denies
- 76377 76377 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.