NCCI edits for CPT 00916
CMS lists 217 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 162 pairs with modifier indicator 1, where an NCCI-associated modifier may be allowed when the documentation supports it.
NCCI release: Q4 2026. Source: CMS National Correct Coding Initiative (NCCI) Edits. Complete plain-text list.
Check a paired code Copy link
Not separately payable together Copy link
Modifier indicator 0: the edit cannot be bypassed with an NCCI-associated modifier. Each row names the code that denies. CMS writes every edit as an ordered pair: the Column Two code is denied and the Column One code is paid.
- 0596T 00916 denies
- 0597T 00916 denies
- 0708T 0708T denies
- 0709T 0709T denies
- 0935T 00916 denies
- 0941T 00916 denies
- 0942T 00916 denies
- 0943T 00916 denies
- 36010 36010 denies
- 36591 36591 denies
- 36592 36592 denies
- 52000 00916 denies
- 52001 00916 denies
- 52005 00916 denies
- 52007 00916 denies
- 52010 00916 denies
- 52204 00916 denies
- 52214 00916 denies
- 52224 00916 denies
- 52234 00916 denies
- 52235 00916 denies
- 52240 00916 denies
- 52250 00916 denies
- 52260 00916 denies
- 52265 00916 denies
- 52270 00916 denies
- 52275 00916 denies
- 52276 00916 denies
- 52277 00916 denies
- 52281 00916 denies
- 52282 00916 denies
- 52283 00916 denies
- 52284 00916 denies
- 52285 00916 denies
- 52287 00916 denies
- 52290 00916 denies
- 52300 00916 denies
- 52301 00916 denies
- 52305 00916 denies
- 52310 00916 denies
- 52315 00916 denies
- 52317 00916 denies
- 52318 00916 denies
- 52320 00916 denies
- 52325 00916 denies
- 52327 00916 denies
- 52330 00916 denies
- 52332 00916 denies
- 52334 00916 denies
- 52341 00916 denies
Showing 50 of 217. The plain-text version contains every pair.
Modifier may be allowed Copy link
Modifier indicator 1: an NCCI-associated modifier may be used when the circumstances and documentation support it. Each row names the Column Two code, which is the one denied absent an allowed modifier.
- 01996 01996 denies
- 0213T 0213T denies
- 0216T 0216T denies
- 0632T 0632T denies
- 0903T 0903T denies
- 0904T 0904T denies
- 0905T 0905T denies
- 31505 31505 denies
- 31515 31515 denies
- 31527 31527 denies
- 31622 31622 denies
- 31634 31634 denies
- 31645 31645 denies
- 31647 31647 denies
- 36000 36000 denies
- 36011 36011 denies
- 36012 36012 denies
- 36013 36013 denies
- 36014 36014 denies
- 36015 36015 denies
- 36400 36400 denies
- 36405 36405 denies
- 36406 36406 denies
- 36410 36410 denies
- 36420 36420 denies
- 36425 36425 denies
- 36430 36430 denies
- 36440 36440 denies
- 36600 36600 denies
- 36640 36640 denies
- 43752 43752 denies
- 43753 43753 denies
- 43754 43754 denies
- 61026 61026 denies
- 61055 61055 denies
- 62280 62280 denies
- 62281 62281 denies
- 62282 62282 denies
- 62284 62284 denies
- 62320 62320 denies
- 62321 62321 denies
- 62322 62322 denies
- 62323 62323 denies
- 62324 62324 denies
- 62325 62325 denies
- 62326 62326 denies
- 62327 62327 denies
- 64400 64400 denies
- 64405 64405 denies
- 64408 64408 denies
Showing 50 of 162. The plain-text version contains every pair.
NCCI edits are not a coverage determination or a substitute for the current CMS NCCI Policy Manual. Deleted pairs are excluded from this page.