NCCI edits for CPT 0263T
CMS lists 78 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 63 pairs with modifier indicator 1, where an NCCI-associated modifier may be allowed when the documentation supports it.
NCCI release: Q3 2026. Source: CMS National Correct Coding Initiative (NCCI) Edits. Complete plain-text list.
Check a paired code Copy link
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, and it is the Column Two code that is denied while Column One is paid.
- 01120 01120 denies
- 0213T 0213T denies
- 0216T 0216T denies
- 0264T 0264T denies
- 0265T 0265T denies
- 0901T 0901T denies
- 36591 36591 denies
- 36592 36592 denies
- 38204 38204 denies
- 38205 38205 denies
- 38206 38206 denies
- 38220 38220 denies
- 38221 38221 denies
- 38222 38222 denies
- 38225 38225 denies
- 38226 38226 denies
- 38227 38227 denies
- 38228 38228 denies
- 38230 38230 denies
- 38232 38232 denies
- 38240 38240 denies
- 38241 38241 denies
- 38242 38242 denies
- 38243 38243 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
Showing 50 of 78. 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
- 0708T 0708T denies
- 0709T 0709T denies
- 0903T 0903T denies
- 0904T 0904T denies
- 0905T 0905T denies
- 36000 36000 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
- 36600 36600 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
- 64473 64473 denies
- 64474 64474 denies
- 76942 76942 denies
- 76998 76998 denies
- 93000 93000 denies
- 93005 93005 denies
- 93010 93010 denies
- 93040 93040 denies
- 93041 93041 denies
- 93042 93042 denies
- 93318 93318 denies
- 93355 93355 denies
- 93925 93925 denies
- 93926 93926 denies
- 93985 93985 denies
- 93986 93986 denies
- 94002 94002 denies
- 94200 94200 denies
- 94680 94680 denies
- 94681 94681 denies
- 94690 94690 denies
- 95812 95812 denies
- 95813 95813 denies
Showing 50 of 63. 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.