"The edits in this PTP file are active for dates of service (July 1, 2026 - September 30, 2026). 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 2025 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"
L6000	L6010	1
L6000	L6380	1
L6000	L6382	1
L6000	L6384	1
L6000	L6386	1
L6000	L6388	1
L6000	L6580	1
L6000	L6582	1
L6000	L6584	1
L6000	L6586	1
L6000	L6588	1
L6000	L6590	1
L6000	L6600	1
L6000	L6605	1
L6000	L6610	1
L6000	L6611	1
L6000	L6615	1
L6000	L6616	1
L6000	L6620	1
L6000	L6621	1
L6000	L6623	1
L6000	L6624	1
L6000	L6625	1
L6000	L6628	1
L6000	L6629	1
L6000	L6630	1
L6000	L6635	1
L6000	L6637	1
L6000	L6638	1
L6000	L6640	1
L6000	L6641	1
L6000	L6642	1
L6000	L6645	1
L6000	L6646	1
L6000	L6647	1
L6000	L6648	1
L6000	L6650	1
L6000	L6655	1
L6000	L6660	1
L6000	L6665	1
L6000	L6670	1
L6000	L6672	1
L6000	L6675	1
L6000	L6676	1
L6000	L6677	1
L6000	L6680	1
L6000	L6682	1
L6000	L6684	1
L6000	L6686	1
L6000	L6687	1
L6000	L6688	1
L6000	L6689	1
L6000	L6690	1
L6000	L6691	1
L6000	L6692	1
L6000	L6693	1
L6000	L6694	1
L6000	L6695	1
L6000	L6696	1
L6000	L6697	1
L6000	L6698	1
L6000	L6703	1
L6000	L6704	1
L6000	L6706	1
L6000	L6707	1
L6000	L6708	1
L6000	L6709	1
L6000	L6711	1
L6000	L6712	1
L6000	L6713	1
L6000	L6714	1
L6000	L6715	1
L6000	L6721	1
L6000	L6722	1
L6000	L6805	1
L6000	L6810	1
L6000	L6880	1
L6000	L6881	1
L6000	L6882	1
L6000	L6883	1
L6000	L6884	1
L6000	L6885	1
L6000	L6890	1
L6000	L6895	1
L6000	L7007	1
L6000	L7008	1
L6000	L7009	1
L6000	L7040	1
L6000	L7045	1
L6000	L7170	1
L6000	L7180	1
L6000	L7181	1
L6000	L7185	1
L6000	L7186	1
L6000	L7190	1
L6000	L7191	1
L6000	L7259	1
L6000	L7360	1
L6000	L7362	1
L6000	L7364	1
L6000	L7366	1
L6000	L7367	1
L6000	L7368	1
L6000	L7400	1
L6000	L7401	1
L6000	L7402	1
L6000	L7403	1
L6000	L7404	1
L6000	L7405	1
L6000	L7510	1
L6000	L7520	1
L6000	L7600	1
L6010	L6380	1
L6010	L6382	1
L6010	L6384	1
L6010	L6386	1
L6010	L6388	1
L6010	L6580	1
L6010	L6582	1
L6010	L6584	1
L6010	L6586	1
L6010	L6588	1
L6010	L6590	1
L6010	L6600	1
L6010	L6605	1
L6010	L6610	1
L6010	L6611	1
L6010	L6615	1
L6010	L6616	1
L6010	L6620	1
L6010	L6621	1
L6010	L6623	1
L6010	L6624	1
L6010	L6625	1
L6010	L6628	1
L6010	L6629	1
L6010	L6630	1
L6010	L6635	1
L6010	L6637	1
L6010	L6638	1
L6010	L6640	1
L6010	L6641	1
L6010	L6642	1
L6010	L6645	1
L6010	L6646	1
L6010	L6647	1
L6010	L6648	1
L6010	L6650	1
L6010	L6655	1
L6010	L6660	1
L6010	L6665	1
L6010	L6670	1
L6010	L6672	1
L6010	L6675	1
L6010	L6676	1
L6010	L6677	1
L6010	L6680	1
L6010	L6682	1
L6010	L6684	1
L6010	L6686	1
L6010	L6687	1
L6010	L6688	1
L6010	L6689	1
L6010	L6690	1
L6010	L6691	1
L6010	L6692	1
L6010	L6693	1
L6010	L6694	1
L6010	L6695	1
L6010	L6696	1
L6010	L6697	1
L6010	L6698	1
L6010	L6703	1
L6010	L6704	1
L6010	L6706	1
L6010	L6707	1
L6010	L6708	1
L6010	L6709	1
L6010	L6711	1
L6010	L6712	1
L6010	L6713	1
L6010	L6714	1
L6010	L6715	1
L6010	L6721	1
L6010	L6722	1
L6010	L6805	1
L6010	L6810	1
L6010	L6880	1
L6010	L6881	1
L6010	L6882	1
L6010	L6883	1
L6010	L6884	1
L6010	L6885	1
L6010	L6890	1
L6010	L6895	1
L6010	L7007	1
L6010	L7008	1
L6010	L7009	1
L6010	L7040	1
L6010	L7045	1
L6010	L7170	1
L6010	L7180	1
L6010	L7181	1
L6010	L7185	1
L6010	L7186	1
L6010	L7190	1
L6010	L7191	1
L6010	L7259	1
L6010	L7360	1
L6010	L7362	1
L6010	L7364	1
L6010	L7366	1
L6010	L7367	1
L6010	L7368	1
L6010	L7400	1
L6010	L7401	1
L6010	L7402	1
L6010	L7403	1
L6010	L7404	1
L6010	L7405	1
L6010	L7510	1
L6010	L7520	1
L6010	L7600	1
L6020	L6000	1
L6020	L6010	1
L6020	L6380	1
L6020	L6382	1
L6020	L6384	1
L6020	L6386	1
L6020	L6388	1
L6020	L6580	1
L6020	L6582	1
L6020	L6584	1
L6020	L6586	1
L6020	L6588	1
L6020	L6590	1
L6020	L6600	1
L6020	L6605	1
L6020	L6610	1
L6020	L6611	1
L6020	L6615	1
L6020	L6616	1
L6020	L6620	1
L6020	L6621	1
L6020	L6623	1
L6020	L6624	1
L6020	L6625	1
L6020	L6628	1
L6020	L6629	1
L6020	L6630	1
L6020	L6635	1
L6020	L6637	1
L6020	L6638	1
L6020	L6640	1
L6020	L6641	1
L6020	L6642	1
L6020	L6645	1
L6020	L6646	1
L6020	L6647	1
L6020	L6648	1
L6020	L6650	1
L6020	L6655	1
L6020	L6660	1
L6020	L6665	1
L6020	L6670	1
L6020	L6672	1
L6020	L6675	1
L6020	L6676	1
L6020	L6677	1
L6020	L6680	1
L6020	L6682	1
L6020	L6684	1
L6020	L6686	1
L6020	L6687	1
L6020	L6688	1
L6020	L6689	1
L6020	L6690	1
L6020	L6691	1
L6020	L6692	1
L6020	L6693	1
L6020	L6694	1
L6020	L6695	1
L6020	L6696	1
L6020	L6697	1
L6020	L6698	1
L6020	L6703	1
L6020	L6704	1
L6020	L6706	1
L6020	L6707	1
L6020	L6708	1
L6020	L6709	1
L6020	L6711	1
L6020	L6712	1
L6020	L6713	1
L6020	L6714	1
L6020	L6715	1
L6020	L6721	1
L6020	L6722	1
L6020	L6805	1
L6020	L6810	1
L6020	L6880	1
L6020	L6881	1
L6020	L6882	1
L6020	L6883	1
L6020	L6884	1
L6020	L6885	1
L6020	L6890	1
L6020	L6895	1
L6020	L7007	1
L6020	L7008	1
L6020	L7009	1
L6020	L7040	1
L6020	L7045	1
L6020	L7170	1
L6020	L7180	1
L6020	L7181	1
L6020	L7185	1
L6020	L7186	1
L6020	L7190	1
L6020	L7191	1
L6020	L7259	1
L6020	L7360	1
L6020	L7362	1
L6020	L7364	1
L6020	L7366	1
L6020	L7367	1
L6020	L7368	1
L6020	L7400	1
L6020	L7401	1
L6020	L7402	1
L6020	L7403	1
L6020	L7404	1
L6020	L7405	1
L6020	L7510	1
L6020	L7520	1
L6020	L7600	1
L6026	L6000	1
L6026	L6010	1
L6026	L6020	1
L6050	L6000	1
L6050	L6010	1
L6050	L6020	1
L6055	L6000	1
L6055	L6010	1
L6055	L6020	1
L6100	L6000	1
L6100	L6010	1
L6100	L6020	1
L6110	L6000	1
L6110	L6010	1
L6110	L6020	1
L6120	L6000	1
L6120	L6010	1
L6120	L6020	1
L6130	L6000	1
L6130	L6010	1
L6130	L6020	1
L6200	L6000	1
L6200	L6010	1
L6200	L6020	1
L6205	L6000	1
L6205	L6010	1
L6205	L6020	1
L6250	L6000	1
L6250	L6010	1
L6250	L6020	1
L6300	L6000	1
L6300	L6010	1
L6300	L6020	1
L6310	L6000	1
L6310	L6010	1
L6310	L6020	1
L6320	L6000	1
L6320	L6010	1
L6320	L6020	1
L6350	L6000	1
L6350	L6010	1
L6350	L6020	1
L6360	L6000	1
L6360	L6010	1
L6360	L6020	1
L6370	L6000	1
L6370	L6010	1
L6370	L6020	1
L6400	L6000	1
L6400	L6010	1
L6400	L6020	1
L6450	L6000	1
L6450	L6010	1
L6450	L6020	1
L6500	L6000	1
L6500	L6010	1
L6500	L6020	1
L6550	L6000	1
L6550	L6010	1
L6550	L6020	1
L6570	L6000	1
L6570	L6010	1
L6570	L6020	1
L6900	L6000	1
L6900	L6010	1
L6900	L6020	1
L6905	L6000	1
L6905	L6010	1
L6905	L6020	1
L6910	L6000	1
L6910	L6010	1
L6910	L6020	1
L6920	L6000	1
L6920	L6010	1
L6920	L6020	1
L6925	L6000	1
L6925	L6010	1
L6925	L6020	1
L6930	L6000	1
L6930	L6010	1
L6930	L6020	1
L6935	L6000	1
L6935	L6010	1
L6935	L6020	1
L6940	L6000	1
L6940	L6010	1
L6940	L6020	1
L6945	L6000	1
L6945	L6010	1
L6945	L6020	1
L6950	L6000	1
L6950	L6010	1
L6950	L6020	1
L6955	L6000	1
L6955	L6010	1
L6955	L6020	1
L6960	L6000	1
L6960	L6010	1
L6960	L6020	1
L6965	L6000	1
L6965	L6010	1
L6965	L6020	1
L6970	L6000	1
L6970	L6010	1
L6970	L6020	1
L6975	L6000	1
L6975	L6010	1
L6975	L6020	1
