NCCI edits for CPT 0265T
CMS lists 78 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 57 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.
- 01120 01120 denies
- 0213T 0213T denies
- 0216T 0216T denies
- 0263T 0265T denies
- 0264T 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
- 93000 93000 denies
- 93005 93005 denies
- 93010 93010 denies
- 93040 93040 denies
- 93041 93041 denies
- 93042 93042 denies
- 93318 93318 denies
- 93355 93355 denies
- 94002 94002 denies
- 94200 94200 denies
- 94680 94680 denies
- 94681 94681 denies
- 94690 94690 denies
- 95812 95812 denies
- 95813 95813 denies
- 95816 95816 denies
- 95819 95819 denies
- 95822 95822 denies
- 95829 95829 denies
- 95955 95955 denies
- 96360 96360 denies
Showing 50 of 57. 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.