NCCI edits for CPT 01991
CMS lists 232 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 111 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.
- 0213T 01991 denies
- 0216T 01991 denies
- 0333T 0333T denies
- 0464T 0464T denies
- 20552 01991 denies
- 20553 01991 denies
- 20560 01991 denies
- 20561 01991 denies
- 36010 36010 denies
- 36591 36591 denies
- 36592 36592 denies
- 62320 01991 denies
- 62321 01991 denies
- 62322 01991 denies
- 62323 01991 denies
- 62324 01991 denies
- 62325 01991 denies
- 62326 01991 denies
- 62327 01991 denies
- 64400 01991 denies
- 64405 01991 denies
- 64408 01991 denies
- 64415 01991 denies
- 64416 01991 denies
- 64417 01991 denies
- 64418 01991 denies
- 64420 01991 denies
- 64421 01991 denies
- 64425 01991 denies
- 64430 01991 denies
- 64435 01991 denies
- 64445 01991 denies
- 64446 01991 denies
- 64447 01991 denies
- 64448 01991 denies
- 64449 01991 denies
- 64450 01991 denies
- 64451 01991 denies
- 64454 01991 denies
- 64455 01991 denies
- 64461 01991 denies
- 64462 01991 denies
- 64463 01991 denies
- 64466 01991 denies
- 64467 01991 denies
- 64468 01991 denies
- 64469 01991 denies
- 64473 01991 denies
- 64474 01991 denies
- 64479 01991 denies
Showing 50 of 232. 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.
- 01992 01992 denies
- 01996 01996 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
- 64553 64553 denies
- 64555 64555 denies
- 76000 76000 denies
- 90865 90865 denies
- 92511 92511 denies
- 92512 92512 denies
- 92516 92516 denies
- 92520 92520 denies
- 92537 92537 denies
- 92538 92538 denies
- 92950 92950 denies
- 92953 92953 denies
Showing 50 of 111. 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.