"The edits in this PTP file are active for dates of service (October 1, 2025 - December 31, 2025). This file should NOT be used by state Medicaid programs as their edit file.

Current Procedural Terminology (CPT) codes, descriptions and other data only are copyright 2024 American Medical Association. All rights reserved.

CPT® is a registered trademark of the American Medical Association.

Applicable FARS\DFARS Restrictions Apply to Government Use.

Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for the data contained or not contained herein."		
Column 1	Column 2	"Modifier
Indicator
0=not allowed
1= allowed
9= not applicable"
90480	G0008	9
90480	G0009	9
90480	G0010	9
90963	99221	1
90963	99222	1
90963	99223	1
90963	99231	1
90963	99232	1
90963	99233	1
90964	99221	1
90964	99222	1
90964	99223	1
90964	99231	1
90964	99232	1
90964	99233	1
90965	99221	1
90965	99222	1
90965	99223	1
90965	99231	1
90965	99232	1
90965	99233	1
90966	99221	1
90966	99222	1
90966	99223	1
90966	99231	1
90966	99232	1
90966	99233	1
M0243	M0245	1
M0244	0543T	1
M0244	0544T	1
M0244	0545T	1
M0244	0563T	1
M0244	0565T	1
M0244	0569T	1
M0244	0570T	1
M0244	0571T	1
M0244	0572T	1
M0244	0573T	1
M0244	0574T	1
M0244	0580T	1
M0244	0581T	1
M0244	0655T	1
M0244	0708T	1
M0244	0709T	1
M0244	0714T	1
M0244	11900	1
M0244	11901	1
M0244	15772	1
M0244	15774	1
M0244	20560	1
M0244	20561	1
M0244	20700	1
M0244	20701	1
M0244	20702	1
M0244	20703	1
M0244	20704	1
M0244	20705	1
M0244	21602	1
M0244	21603	1
M0244	33017	1
M0244	33018	1
M0244	33019	1
M0244	33858	1
M0244	33859	1
M0244	33871	1
M0244	34717	1
M0244	34718	1
M0244	35702	1
M0244	35703	1
M0244	36000	1
M0244	36410	1
M0244	36425	1
M0244	36500	1
M0244	49013	1
M0244	49014	1
M0244	61650	1
M0244	64450	1
M0244	64454	1
M0244	64473	1
M0244	64474	1
M0244	64486	1
M0244	64487	1
M0244	64488	1
M0244	64489	1
M0244	66987	1
M0244	66988	1
M0244	75893	1
M0244	96360	1
M0244	96365	1
M0244	96372	1
M0244	96374	1
M0244	96377	1
M0244	96409	1
M0244	96413	1
M0244	96521	1
M0244	96522	1
M0244	96523	0
M0244	99202	1
M0244	99203	1
M0244	99204	1
M0244	99205	1
M0244	99211	1
M0244	99212	1
M0244	99213	1
M0244	99214	1
M0244	99215	1
M0244	99221	1
M0244	99222	1
M0244	99223	1
M0244	99231	1
M0244	99232	1
M0244	99233	1
M0244	99234	1
M0244	99235	1
M0244	99236	1
M0244	99238	1
M0244	99239	1
M0244	99291	1
M0244	99304	1
M0244	99305	1
M0244	99306	1
M0244	99307	1
M0244	99308	1
M0244	99309	1
M0244	99310	1
M0244	99315	1
M0244	99316	1
M0244	99341	1
M0244	99342	1
M0244	99344	1
M0244	99345	1
M0244	99347	1
M0244	99348	1
M0244	99349	1
M0244	99350	1
M0244	99358	1
M0244	99359	1
M0244	99418	1
M0244	99455	1
M0244	99456	1
M0244	99466	1
M0244	99468	1
M0244	99469	1
M0244	99471	1
M0244	99472	1
M0244	99477	1
M0244	99478	1
M0244	99479	1
M0244	99480	1
M0244	99483	1
M0244	99485	1
M0244	99486	1
M0244	99497	1
M0244	E0781	1
M0244	G0463	1
