NCCI edits for CPT 0218T
CMS lists 49 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 16 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.
- 0333T 0333T denies
- 0464T 0464T denies
- 36591 36591 denies
- 36592 36592 denies
- 64490 0218T denies
- 64491 0218T denies
- 64492 0218T denies
- 64493 0218T denies
- 64494 0218T denies
- 64495 0218T denies
- 92652 92652 denies
- 92653 92653 denies
- 95822 95822 denies
- 95860 95860 denies
- 95861 95861 denies
- 95863 95863 denies
- 95864 95864 denies
- 95865 95865 denies
- 95866 95866 denies
- 95867 95867 denies
- 95868 95868 denies
- 95869 95869 denies
- 95870 95870 denies
- 95907 95907 denies
- 95908 95908 denies
- 95909 95909 denies
- 95910 95910 denies
- 95911 95911 denies
- 95912 95912 denies
- 95913 95913 denies
- 95925 95925 denies
- 95926 95926 denies
- 95927 95927 denies
- 95928 95928 denies
- 95929 95929 denies
- 95930 95930 denies
- 95933 95933 denies
- 95937 95937 denies
- 95938 95938 denies
- 95939 95939 denies
- 95940 95940 denies
- 96523 96523 denies
- 99446 99446 denies
- 99447 99447 denies
- 99448 99448 denies
- 99449 99449 denies
- 99451 99451 denies
- 99452 99452 denies
- G0453 G0453 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.
- 0596T 0596T denies
- 0597T 0597T denies
- 51701 51701 denies
- 51702 51702 denies
- 51703 51703 denies
- 76000 76000 denies
- 76380 76380 denies
- 76800 76800 denies
- 76942 76942 denies
- 76998 76998 denies
- 77001 77001 denies
- 77002 77002 denies
- 77003 77003 denies
- 77012 77012 denies
- 77021 77021 denies
- G0471 G0471 denies
NCCI edits are not a coverage determination or a substitute for the current CMS NCCI Policy Manual. Deleted pairs are excluded from this page.