"The edits in this PTP file are active for dates of service (January 1, 2024 - March 31, 2024). 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 2023 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 liabiility for the data contained or not contained herein."		
Column 1	Column 2	"Modifier
Indicator
0=not allowed
1= allowed
9= not applicable"
0387U	0314U	1
0387U	81210	1
0387U	81272	1
0387U	81401	1
0387U	81402	1
0387U	81403	1
0387U	81404	1
0387U	81445	1
0387U	81449	1
0387U	81450	1
0387U	81451	1
0387U	81455	1
0387U	81456	1
0387U	81529	1
0387U	81552	1
0387U	88341	0
0387U	88342	0
0388U	0022U	1
0388U	0080U	1
0388U	0092U	1
0388U	0179U	1
0388U	0317U	1
0388U	81235	1
0388U	81401	1
0388U	81445	1
0388U	81449	1
0388U	81455	1
0388U	81456	1
0388U	81538	1
0389U	0310U	1
0389U	80503	1
0389U	80504	1
0389U	80505	1
0389U	80506	1
0389U	83880	1
0389U	84479	1
0389U	86140	0
0389U	86141	0
0389U	96523	0
0390U	81405	1
0390U	81406	1
0391U	81445	1
0391U	81455	1
0392U	0009U	1
0392U	0016U	1
0392U	0017U	1
0392U	0027U	1
0392U	0029U	1
0392U	0030U	1
0392U	0034U	1
0392U	0040U	1
0392U	0046U	1
0392U	0049U	1
0392U	0069U	1
0392U	0070U	1
0392U	0071U	0
0392U	0072U	0
0392U	0073U	0
0392U	0074U	0
0392U	0075U	0
0392U	0076U	0
0392U	0086U	1
0392U	0111U	1
0392U	0112U	1
0392U	0115U	1
0392U	0136U	1
0392U	0137U	1
0392U	0138U	1
0392U	0140U	1
0392U	0141U	1
0392U	0142U	1
0392U	0155U	1
0392U	0156U	1
0392U	0157U	1
0392U	0158U	1
0392U	0159U	1
0392U	0160U	1
0392U	0161U	1
0392U	0169U	1
0392U	0177U	1
0392U	0202U	1
0392U	0229U	1
0392U	0230U	1
0392U	0231U	1
0392U	0233U	1
0392U	0234U	1
0392U	0235U	1
0392U	0236U	1
0392U	0252U	1
0392U	0500T	1
0392U	36591	0
0392U	36592	0
0392U	80503	1
0392U	80504	1
0392U	80505	1
0392U	80506	1
0392U	81105	1
0392U	81106	1
0392U	81107	1
0392U	81108	1
0392U	81109	1
0392U	81110	1
0392U	81111	1
0392U	81112	1
0392U	81120	1
0392U	81121	1
0392U	81161	1
0392U	81162	1
0392U	81163	1
0392U	81164	1
0392U	81165	1
0392U	81166	1
0392U	81167	1
0392U	81168	1
0392U	81170	1
0392U	81171	1
0392U	81172	1
0392U	81173	1
0392U	81174	1
0392U	81175	1
0392U	81176	1
0392U	81177	1
0392U	81178	1
0392U	81179	1
0392U	81180	1
0392U	81181	1
0392U	81182	1
0392U	81183	1
0392U	81184	1
0392U	81185	1
0392U	81186	1
0392U	81187	1
0392U	81188	1
0392U	81189	1
0392U	81190	1
0392U	81191	1
0392U	81192	1
0392U	81193	1
0392U	81194	1
0392U	81200	1
0392U	81201	1
0392U	81202	1
0392U	81203	1
0392U	81204	1
0392U	81205	1
0392U	81206	1
0392U	81207	1
0392U	81208	1
0392U	81209	1
0392U	81210	1
0392U	81212	1
0392U	81215	1
0392U	81216	1
0392U	81217	1
0392U	81218	1
0392U	81219	1
0392U	81220	1
0392U	81221	1
0392U	81222	1
0392U	81223	1
0392U	81224	1
0392U	81225	0
0392U	81226	1
0392U	81227	1
0392U	81228	1
0392U	81229	1
0392U	81230	1
0392U	81231	1
0392U	81232	1
0392U	81233	1
0392U	81234	1
0392U	81235	1
0392U	81236	1
0392U	81237	1
0392U	81238	1
0392U	81239	1
0392U	81240	1
0392U	81241	1
0392U	81242	1
0392U	81243	1
0392U	81244	1
0392U	81245	1
0392U	81246	1
0392U	81247	1
0392U	81248	1
0392U	81249	1
0392U	81250	1
0392U	81251	1
0392U	81252	1
0392U	81253	1
0392U	81254	1
0392U	81255	1
0392U	81256	1
0392U	81257	1
0392U	81258	1
0392U	81259	1
0392U	81260	1
0392U	81261	1
0392U	81262	1
0392U	81263	1
0392U	81264	1
0392U	81265	1
0392U	81266	1
0392U	81267	1
0392U	81268	1
0392U	81269	1
0392U	81270	1
0392U	81271	1
0392U	81272	1
0392U	81273	1
0392U	81274	1
0392U	81275	1
0392U	81276	1
0392U	81278	1
0392U	81279	1
0392U	81283	1
0392U	81284	1
0392U	81285	1
0392U	81286	1
0392U	81287	1
0392U	81288	1
0392U	81289	1
0392U	81290	1
0392U	81291	1
0392U	81292	1
0392U	81293	1
0392U	81294	1
0392U	81295	1
0392U	81296	1
0392U	81297	1
0392U	81298	1
0392U	81299	1
0392U	81300	1
0392U	81301	1
0392U	81302	1
0392U	81303	1
0392U	81304	1
0392U	81305	1
0392U	81306	1
0392U	81307	1
0392U	81308	1
0392U	81309	1
0392U	81310	1
0392U	81311	1
0392U	81312	1
0392U	81313	1
0392U	81314	1
0392U	81315	1
0392U	81316	1
0392U	81317	1
0392U	81318	1
0392U	81319	1
0392U	81320	1
0392U	81321	1
0392U	81322	1
0392U	81323	1
0392U	81324	1
0392U	81325	1
0392U	81326	1
0392U	81327	1
0392U	81328	1
0392U	81329	1
0392U	81330	1
0392U	81331	1
0392U	81332	1
0392U	81333	1
0392U	81334	1
0392U	81335	1
0392U	81336	1
0392U	81337	1
0392U	81338	1
0392U	81339	1
0392U	81340	1
0392U	81341	1
0392U	81342	1
0392U	81343	1
0392U	81344	1
0392U	81345	1
0392U	81346	1
0392U	81347	1
0392U	81348	1
0392U	81350	1
0392U	81351	1
0392U	81352	1
0392U	81353	1
0392U	81355	1
0392U	81357	1
0392U	81360	1
0392U	81361	1
0392U	81362	1
0392U	81363	1
0392U	81364	1
0392U	81400	1
0392U	81401	1
0392U	81402	1
0392U	81403	1
0392U	81404	1
0392U	81405	1
0392U	81406	1
0392U	81407	1
0392U	81408	1
0392U	81513	1
0392U	84311	1
0392U	87140	1
0392U	87143	1
0392U	87147	1
0392U	87149	1
0392U	87150	1
0392U	87152	1
0392U	87153	1
0392U	87154	1
0392U	87158	1
0392U	87471	1
0392U	87472	1
0392U	87475	1
0392U	87476	1
0392U	87480	1
0392U	87481	1
0392U	87482	1
0392U	87483	1
0392U	87485	1
0392U	87486	1
0392U	87487	1
0392U	87490	1
0392U	87491	1
0392U	87492	1
0392U	87493	1
0392U	87495	1
0392U	87496	1
0392U	87497	1
0392U	87498	1
0392U	87500	1
0392U	87501	1
0392U	87502	1
0392U	87503	1
0392U	87505	1
0392U	87506	1
0392U	87507	1
0392U	87510	1
0392U	87511	1
0392U	87512	1
0392U	87516	1
0392U	87517	1
0392U	87520	1
0392U	87521	1
0392U	87522	1
0392U	87525	1
0392U	87526	1
0392U	87527	1
0392U	87528	1
0392U	87529	1
0392U	87530	1
0392U	87531	1
0392U	87532	1
0392U	87533	1
0392U	87534	1
0392U	87535	1
0392U	87536	1
0392U	87537	1
0392U	87538	1
0392U	87539	1
0392U	87540	1
0392U	87541	1
0392U	87542	1
0392U	87550	1
0392U	87551	1
0392U	87552	1
0392U	87555	1
0392U	87556	1
0392U	87557	1
0392U	87560	1
0392U	87561	1
0392U	87562	1
0392U	87580	1
0392U	87581	1
0392U	87582	1
0392U	87590	1
0392U	87591	1
0392U	87592	1
0392U	87623	1
0392U	87624	1
0392U	87625	1
0392U	87631	1
0392U	87632	1
0392U	87633	1
0392U	87636	1
0392U	87637	1
0392U	87640	1
0392U	87641	1
0392U	87650	1
0392U	87651	1
0392U	87652	1
0392U	87653	1
0392U	87660	1
0392U	87661	1
0392U	87797	1
0392U	87798	1
0392U	87799	1
0392U	87800	1
0392U	87801	1
0392U	88271	1
0392U	88272	1
0392U	88273	1
0392U	88274	1
0392U	88275	1
0392U	88291	1
0392U	88364	1
0392U	88365	1
0392U	88366	1
0392U	88367	1
0392U	88368	1
0392U	88369	1
0392U	88373	1
0392U	88374	1
0392U	88377	1
0392U	96523	0
0392U	G0327	1
0392U	G0452	1
0392U	G0476	1
0393U	0077U	1
0393U	80503	1
0393U	80504	1
0393U	80505	1
0393U	80506	1
0393U	81406	1
0393U	84166	1
0395U	0022U	1
0395U	0080U	1
0395U	0092U	1
0395U	0179U	1
0395U	0317U	1
0395U	81235	1
0395U	81401	1
0395U	81445	1
0395U	81449	1
0395U	81455	1
0395U	81456	1
0395U	81538	1
0396U	0254U	1
0398U	0009U	1
0398U	0016U	1
0398U	0017U	1
0398U	0027U	1
0398U	0029U	1
0398U	0030U	1
0398U	0034U	1
0398U	0040U	1
0398U	0046U	1
0398U	0049U	1
0398U	0070U	1
0398U	0071U	1
0398U	0108U	1
0398U	0156U	1
0398U	0157U	1
0398U	0158U	1
0398U	0159U	1
0398U	0160U	1
0398U	0161U	1
0398U	0169U	1
0398U	0212U	1
0398U	0213U	1
0398U	0229U	1
0398U	0230U	1
0398U	0231U	1
0398U	0233U	1
0398U	0234U	1
0398U	0235U	1
0398U	0236U	1
0398U	0252U	1
0398U	0286U	1
0398U	0317U	1
0398U	0318U	1
0398U	0336U	1
0398U	0341U	1
0398U	0347U	1
0398U	0348U	1
0398U	0349U	1
0398U	0350U	1
0398U	80503	1
0398U	80504	1
0398U	80505	1
0398U	80506	1
0398U	81105	1
0398U	81106	1
0398U	81107	1
0398U	81108	1
0398U	81109	1
0398U	81110	1
0398U	81111	1
0398U	81112	1
0398U	81120	1
0398U	81121	1
0398U	81161	1
0398U	81162	1
0398U	81163	1
0398U	81164	1
0398U	81165	1
0398U	81166	1
0398U	81167	1
0398U	81168	1
0398U	81170	1
0398U	81171	1
0398U	81172	1
0398U	81173	1
0398U	81174	1
0398U	81175	1
0398U	81176	1
0398U	81177	1
0398U	81178	1
0398U	81179	1
0398U	81180	1
0398U	81181	1
0398U	81182	1
0398U	81183	1
0398U	81184	1
0398U	81185	1
0398U	81186	1
0398U	81187	1
0398U	81188	1
0398U	81189	1
0398U	81190	1
0398U	81191	1
0398U	81192	1
0398U	81193	1
0398U	81194	1
0398U	81200	1
0398U	81201	1
0398U	81202	1
0398U	81203	1
0398U	81204	1
0398U	81205	1
0398U	81206	1
0398U	81207	1
0398U	81208	1
0398U	81209	1
0398U	81210	1
0398U	81212	1
0398U	81215	1
0398U	81216	1
0398U	81217	1
0398U	81218	1
0398U	81219	1
0398U	81220	1
0398U	81221	1
0398U	81222	1
0398U	81223	1
0398U	81224	1
0398U	81225	1
0398U	81226	1
0398U	81227	1
0398U	81228	1
0398U	81229	1
0398U	81230	1
0398U	81231	1
0398U	81232	1
0398U	81233	1
0398U	81234	1
0398U	81235	1
0398U	81236	1
0398U	81237	1
0398U	81238	1
0398U	81239	1
0398U	81240	1
0398U	81241	1
0398U	81242	1
0398U	81243	1
0398U	81244	1
0398U	81245	1
0398U	81246	1
0398U	81247	1
0398U	81248	1
0398U	81249	1
0398U	81250	1
0398U	81251	1
0398U	81252	1
0398U	81253	1
0398U	81254	1
0398U	81255	1
0398U	81256	1
0398U	81257	1
0398U	81258	1
0398U	81259	1
0398U	81260	1
0398U	81261	1
0398U	81262	1
0398U	81263	1
0398U	81264	1
0398U	81265	1
0398U	81266	1
0398U	81267	1
0398U	81268	1
0398U	81269	1
0398U	81270	1
0398U	81271	1
0398U	81272	1
0398U	81273	1
0398U	81274	1
0398U	81275	1
0398U	81276	1
0398U	81278	1
0398U	81279	1
0398U	81283	1
0398U	81284	1
0398U	81285	1
0398U	81286	1
0398U	81288	1
0398U	81289	1
0398U	81290	1
0398U	81291	1
0398U	81292	1
0398U	81293	1
0398U	81294	1
0398U	81295	1
0398U	81296	1
0398U	81297	1
0398U	81298	1
0398U	81299	1
0398U	81300	1
0398U	81301	1
0398U	81302	1
0398U	81303	1
0398U	81304	1
0398U	81305	1
0398U	81306	1
0398U	81310	1
0398U	81311	1
0398U	81312	1
0398U	81313	1
0398U	81314	1
0398U	81315	1
0398U	81316	1
0398U	81317	1
0398U	81318	1
0398U	81319	1
0398U	81320	1
0398U	81321	1
0398U	81322	1
0398U	81323	1
0398U	81324	1
0398U	81325	1
0398U	81326	1
0398U	81327	1
0398U	81328	1
0398U	81329	1
0398U	81330	1
0398U	81331	1
0398U	81332	1
0398U	81333	1
0398U	81334	1
0398U	81335	1
0398U	81336	1
0398U	81337	1
0398U	81338	1
0398U	81339	1
0398U	81340	1
0398U	81341	1
0398U	81342	1
0398U	81343	1
0398U	81344	1
0398U	81345	1
0398U	81346	1
0398U	81347	1
0398U	81348	1
0398U	81350	1
0398U	81351	1
0398U	81352	1
0398U	81353	1
0398U	81355	1
0398U	81357	1
0398U	81360	1
0398U	81361	1
0398U	81362	1
0398U	81363	1
0398U	81364	1
0398U	81400	1
0398U	81401	1
0398U	81402	1
0398U	81403	1
0398U	81404	1
0398U	81405	1
0398U	81406	1
0398U	81407	1
0398U	81408	1
0398U	81418	1
0398U	83789	1
0398U	84311	1
0398U	88271	1
0398U	88272	1
0398U	88273	1
0398U	88274	1
0398U	88275	1
0398U	88291	1
0398U	88364	1
0398U	88365	1
0398U	88366	1
0398U	88367	1
0398U	88368	1
0398U	88369	1
0398U	88373	1
0398U	88374	1
0398U	88377	1
0398U	96523	0
0398U	G0327	1
0398U	G0452	1
0400U	81220	1
0400U	81221	1
0400U	81222	1
0400U	81223	1
0400U	81224	1
0400U	81328	1
0400U	81329	1
0400U	81405	1
0400U	81406	1
0400U	81407	1
0401U	0237U	1
0401U	0308U	1
0401U	0309U	0
0401U	81413	1
0401U	81439	1
0780T	44705	0
33900	93451	1
33900	93452	1
33900	93453	1
33900	93454	1
33900	93455	1
33900	93456	1
33900	93457	1
33900	93458	1
33900	93459	1
33900	93460	1
33900	93461	1
33900	93563	1
33900	93566	1
33900	93567	1
33900	93568	1
33900	93593	1
33900	93594	1
33900	93596	1
33900	93597	1
33900	93598	1
33901	93451	1
33901	93452	1
33901	93453	1
33901	93454	1
33901	93455	1
33901	93456	1
33901	93457	1
33901	93458	1
33901	93459	1
33901	93460	1
33901	93461	1
33901	93563	1
33901	93566	1
33901	93567	1
33901	93568	1
33901	93593	1
33901	93594	1
33901	93596	1
33901	93597	1
33901	93598	1
33902	93451	1
33902	93452	1
33902	93453	1
33902	93454	1
33902	93455	1
33902	93456	1
33902	93457	1
33902	93458	1
33902	93459	1
33902	93460	1
33902	93461	1
33902	93563	1
33902	93566	1
33902	93567	1
33902	93568	1
33902	93593	1
33902	93594	1
33902	93596	1
33902	93597	1
33902	93598	1
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