NCCI edits for CPT 0238T
CMS lists 58 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 94 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 2 units 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.
- 01924 01924 denies
- 36591 36591 denies
- 36592 36592 denies
- 62320 62320 denies
- 62321 62321 denies
- 62322 62322 denies
- 62323 62323 denies
- 62324 62324 denies
- 62325 62325 denies
- 62326 62326 denies
- 62327 62327 denies
- 64400 64400 denies
- 64405 64405 denies
- 64408 64408 denies
- 64415 64415 denies
- 64416 64416 denies
- 64417 64417 denies
- 64418 64418 denies
- 64420 64420 denies
- 64421 64421 denies
- 64425 64425 denies
- 64430 64430 denies
- 64435 64435 denies
- 64445 64445 denies
- 64446 64446 denies
- 64447 64447 denies
- 64448 64448 denies
- 64449 64449 denies
- 64450 64450 denies
- 64451 64451 denies
- 64454 64454 denies
- 64461 64461 denies
- 64463 64463 denies
- 64479 64479 denies
- 64483 64483 denies
- 64486 64486 denies
- 64487 64487 denies
- 64488 64488 denies
- 64489 64489 denies
- 64490 64490 denies
- 64493 64493 denies
- 64505 64505 denies
- 64510 64510 denies
- 64517 64517 denies
- 64520 64520 denies
- 64530 64530 denies
- 69990 69990 denies
- 93050 93050 denies
- 96523 96523 denies
- 99155 99155 denies
Showing 50 of 58. 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.
- 0596T 0596T denies
- 0597T 0597T denies
- 0903T 0903T denies
- 0904T 0904T denies
- 0905T 0905T denies
- 11000 11000 denies
- 11001 11001 denies
- 11004 11004 denies
- 11005 11005 denies
- 11006 11006 denies
- 11042 11042 denies
- 11043 11043 denies
- 11044 11044 denies
- 11045 11045 denies
- 11046 11046 denies
- 11047 11047 denies
- 35201 35201 denies
- 35206 35206 denies
- 35226 35226 denies
- 35231 35231 denies
- 35236 35236 denies
- 35256 35256 denies
- 35261 35261 denies
- 35266 35266 denies
- 35286 35286 denies
- 36000 36000 denies
- 36002 36002 denies
- 36005 36005 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
- 36500 36500 denies
- 36600 36600 denies
- 36620 36620 denies
- 36625 36625 denies
- 36640 36640 denies
- 43752 43752 denies
- 51701 51701 denies
- 51702 51702 denies
- 51703 51703 denies
- 61650 61650 denies
- 64466 64466 denies
- 64467 64467 denies
- 64468 64468 denies
- 64469 64469 denies
Showing 50 of 94. 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.