NCCI edits for CPT 0213T
CMS lists 5,573 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 570 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.
- 01991 01991 denies
- 01992 01992 denies
- 0200T 0213T denies
- 0201T 0213T denies
- 0202T 0213T denies
- 0207T 0213T denies
- 0234T 0213T denies
- 0235T 0213T denies
- 0236T 0213T denies
- 0237T 0213T denies
- 0253T 0213T denies
- 0263T 0213T denies
- 0265T 0213T denies
- 0274T 0213T denies
- 0308T 0213T denies
- 0333T 0333T denies
- 0335T 0213T denies
- 0338T 0213T denies
- 0339T 0213T denies
- 0342T 0213T denies
- 0345T 0213T denies
- 0347T 0213T denies
- 0395T 0213T denies
- 0397T 0213T denies
- 0402T 0213T denies
- 0408T 0213T denies
- 0409T 0213T denies
- 0410T 0213T denies
- 0411T 0213T denies
- 0412T 0213T denies
- 0413T 0213T denies
- 0414T 0213T denies
- 0415T 0213T denies
- 0416T 0213T denies
- 0419T 0213T denies
- 0420T 0213T denies
- 0437T 0213T denies
- 0440T 0213T denies
- 0441T 0213T denies
- 0442T 0213T denies
- 0444T 0213T denies
- 0445T 0213T denies
- 0446T 0213T denies
- 0447T 0213T denies
- 0448T 0213T denies
- 0449T 0213T denies
- 0450T 0213T denies
- 0464T 0464T denies
- 0474T 0213T denies
- 0479T 0213T denies
Showing 50 of 5,573. 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.
- 00100 0213T denies
- 00102 0213T denies
- 00103 0213T denies
- 00104 0213T denies
- 00120 0213T denies
- 00124 0213T denies
- 00126 0213T denies
- 00140 0213T denies
- 00142 0213T denies
- 00144 0213T denies
- 00145 0213T denies
- 00147 0213T denies
- 00148 0213T denies
- 00160 0213T denies
- 00162 0213T denies
- 00164 0213T denies
- 00170 0213T denies
- 00172 0213T denies
- 00174 0213T denies
- 00176 0213T denies
- 00190 0213T denies
- 00192 0213T denies
- 00210 0213T denies
- 00211 0213T denies
- 00212 0213T denies
- 00214 0213T denies
- 00215 0213T denies
- 00216 0213T denies
- 00218 0213T denies
- 00220 0213T denies
- 00222 0213T denies
- 00300 0213T denies
- 00320 0213T denies
- 00322 0213T denies
- 00326 0213T denies
- 00350 0213T denies
- 00352 0213T denies
- 00400 0213T denies
- 00402 0213T denies
- 00404 0213T denies
- 00406 0213T denies
- 00410 0213T denies
- 00450 0213T denies
- 00454 0213T denies
- 00470 0213T denies
- 00472 0213T denies
- 00474 0213T denies
- 00500 0213T denies
- 00520 0213T denies
- 00522 0213T denies
Showing 50 of 570. 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.