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, and it is the Column Two code that is denied while Column One 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.