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: Q3 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, and it is the Column Two code that is denied while Column One 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.