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Reference table

Billable Code Groups

CMS National Correct Coding Initiative, practitioner PTP edits, 2026 Q2

Signed off v1
Read by bundling_edit. Those nodes reach this table through table_lookup on code. A key that is not in the table is a no_match — the lookup fails closed on that node and the walk continues. It is not on_field_missing, which means something different: that the claim did not carry the field.

bcg

1 of 16 rows matching “82947”
codegroupbillablebundled intonote
82947 Comprehensive metabolic panel False 80053 A component of 80053. Payable alone only if 80053 was not billed for the same member on the same date.

Versions

Signed-off wins, else the highest. 1 on disk.

v1 · bcg.v1.yaml 16 rows · CMS National Correct Coding Initiative, practitioner PTP edits, 2026 Q2 Active signed 2026-02-01