NCCI edits for CPT 01916
CMS lists 283 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 168 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.
- 0632T 01916 denies
- 0645T 01916 denies
- 0708T 0708T denies
- 0709T 0709T denies
- 0710T 01916 denies
- 0711T 01916 denies
- 0712T 01916 denies
- 0713T 01916 denies
- 0946T 01916 denies
- 33275 01916 denies
- 34717 01916 denies
- 34718 01916 denies
- 36010 36010 denies
- 36100 01916 denies
- 36140 01916 denies
- 36160 01916 denies
- 36200 01916 denies
- 36215 01916 denies
- 36216 01916 denies
- 36217 01916 denies
- 36218 01916 denies
- 36221 01916 denies
- 36222 01916 denies
- 36223 01916 denies
- 36224 01916 denies
- 36225 01916 denies
- 36226 01916 denies
- 36245 01916 denies
- 36246 01916 denies
- 36247 01916 denies
- 36251 01916 denies
- 36252 01916 denies
- 36253 01916 denies
- 36254 01916 denies
- 36591 36591 denies
- 36592 36592 denies
- 36901 01916 denies
- 36902 01916 denies
- 36903 01916 denies
- 36904 01916 denies
- 36905 01916 denies
- 36906 01916 denies
- 36907 01916 denies
- 36908 01916 denies
- 36909 01916 denies
- 37191 01916 denies
- 37192 01916 denies
- 37193 01916 denies
- 37197 01916 denies
- 37211 01916 denies
Showing 50 of 283. 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.
- 01924 01916 denies
- 01925 01916 denies
- 01926 01916 denies
- 01930 01916 denies
- 01931 01916 denies
- 01932 01916 denies
- 01933 01916 denies
- 01996 01996 denies
- 0213T 0213T denies
- 0216T 0216T denies
- 0903T 0903T denies
- 0904T 0904T denies
- 0905T 0905T denies
- 0932T 0932T 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
Showing 50 of 168. 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.