NCCI edits for CPT 01996
CMS lists 22 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 288 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
Medically Unlikely Edit (MUE) Copy link
The published MUE is 1 unit per patient per date of service.
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.
- 36591 36591 denies
- 36592 36592 denies
- 62324 01996 denies
- 62325 01996 denies
- 62326 01996 denies
- 62327 01996 denies
- 64416 01996 denies
- 64446 01996 denies
- 64447 01996 denies
- 64448 01996 denies
- 64449 01996 denies
- 93598 93598 denies
- 93701 93701 denies
- 96523 96523 denies
- 99151 99151 denies
- 99152 99152 denies
- 99153 99153 denies
- 99155 99155 denies
- 99156 99156 denies
- 99157 99157 denies
- C8927 C8927 denies
- G0500 G0500 denies
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.
- 00100 01996 denies
- 00102 01996 denies
- 00103 01996 denies
- 00104 01996 denies
- 00120 01996 denies
- 00124 01996 denies
- 00126 01996 denies
- 00140 01996 denies
- 00142 01996 denies
- 00144 01996 denies
- 00145 01996 denies
- 00147 01996 denies
- 00148 01996 denies
- 00160 01996 denies
- 00162 01996 denies
- 00164 01996 denies
- 00170 01996 denies
- 00172 01996 denies
- 00174 01996 denies
- 00176 01996 denies
- 00190 01996 denies
- 00192 01996 denies
- 00210 01996 denies
- 00211 01996 denies
- 00212 01996 denies
- 00214 01996 denies
- 00215 01996 denies
- 00216 01996 denies
- 00218 01996 denies
- 00220 01996 denies
- 00222 01996 denies
- 00300 01996 denies
- 00320 01996 denies
- 00322 01996 denies
- 00326 01996 denies
- 00350 01996 denies
- 00352 01996 denies
- 00400 01996 denies
- 00402 01996 denies
- 00404 01996 denies
- 00406 01996 denies
- 00410 01996 denies
- 00450 01996 denies
- 00454 01996 denies
- 00470 01996 denies
- 00472 01996 denies
- 00474 01996 denies
- 00500 01996 denies
- 00520 01996 denies
- 00522 01996 denies
Showing 50 of 288. 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.