NCCI edits for CPT 0232T
CMS lists 9 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 35 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.
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.
- 0481T 0232T denies
- 0490T 0232T denies
- 0565T 0232T denies
- 0566T 0232T denies
- 0717T 0232T denies
- 0718T 0232T denies
- 0901T 0232T denies
- 15769 0232T denies
- 15771 0232T denies
- 15772 0232T denies
- 15773 0232T denies
- 15774 0232T denies
- 20527 0232T denies
- 20550 0232T denies
- 20551 0232T denies
- 20600 0232T denies
- 20604 0232T denies
- 20605 0232T denies
- 20606 0232T denies
- 20610 0232T denies
- 20611 0232T denies
- 20704 0232T denies
- 20939 0232T denies
- 36415 36415 denies
- 38220 0232T denies
- 38221 0232T denies
- 38222 0232T denies
- 38230 0232T denies
- 76380 76380 denies
- 76942 76942 denies
- 76998 76998 denies
- 77002 77002 denies
- 77012 77012 denies
- 77021 77021 denies
- 86965 86965 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.