Code Pairs Removed from this List Effective December 31, 2021
When the code pairs in the table below are submitted for the same date, the code in column 1 will be considered for reimbursement and the code in column 2 will be denied. This listing was revised on January 3, 2022 and may be subject to change.
Code | Code Description | Code | Code Description | Rule Source |
72275 | Epidurography | 76000 | Fluoroscopy <1 hr phys/qhp | CMS Edit |
72275 | Epidurography | 77001 | Fluoroguide for vein device | CMS Edit |
76101 | Complex body section x-ray | 76000 | Fluoroscopy <1 hr phys/qhp | CMS Edit |
76101 | Complex body section x-ray | 77001 | Fluoroguide for vein device | CMS Edit |
74400 | Contrst x-ray urinary tract | 76101 | Complex body section x-ray | CMS Edit |
74410 | Contrst x-ray urinary tract | 76101 | Complex body section x-ray | CMS Edit |
74415 | Contrst x-ray urinary tract | 76101 | Complex body section x-ray | CPT Definition |
74420 | Contrst x-ray urinary tract | 76101 | Complex body section x-ray | CPT Definition |
74425 | Contrst x-ray urinary tract | 76101 | Complex body section x-ray | CPT Definition |
76102 | Complex body section x-rays | 76101 | Complex body section x-ray | CMS Edit |
76102 | Complex body section x-rays | 76000 | Fluoroscopy <1 hr phys/qhp | CMS Edit |
76102 | Complex body section x-rays | 76101 | Complex body section x-ray | CMS Edit |
76102 | Complex body section x-rays | 77001 | Fluoroguide for vein device | CMS Edit |
74400 | Contrst x-ray urinary tract | 76102 | Complex body section x-rays | CMS Edit |
74410 | Contrst x-ray urinary tract | 76102 | Complex body section x-rays | CMS Edit |
74415 | Contrst x-ray urinary tract | 76102 | Complex body section x-rays | CMS Edit |
74420 | Contrst x-ray urinary tract | 76102 | Complex body section x-rays | CMS Edit |
74425 | Contrst x-ray urinary tract | 76102 | Complex body section x-rays | CMS Edit |