NCCI edits for CPT 0418T
CMS lists 37 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 43 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.
- 0408T 0418T denies
- 0409T 0418T denies
- 0410T 0418T denies
- 0411T 0418T denies
- 0412T 0418T denies
- 0413T 0418T denies
- 0414T 0418T denies
- 0415T 0418T denies
- 0417T 0418T denies
- 0915T 0418T denies
- 0916T 0418T denies
- 0918T 0418T denies
- 0919T 0919T denies
- 0920T 0920T denies
- 0921T 0921T denies
- 0922T 0922T denies
- 0923T 0418T denies
- 0928T 0928T denies
- 0929T 0929T denies
- 0930T 0418T denies
- 0931T 0418T denies
- 36591 36591 denies
- 36592 36592 denies
- 93268 93268 denies
- 93270 93270 denies
- 93271 93271 denies
- 93272 93272 denies
- 93654 0418T denies
- 93656 0418T denies
- 93724 0418T denies
- 96523 96523 denies
- 99446 99446 denies
- 99447 99447 denies
- 99448 99448 denies
- 99449 99449 denies
- 99451 99451 denies
- 99452 99452 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.
- 0416T 0418T denies
- 0525T 0418T denies
- 0526T 0418T denies
- 0527T 0418T denies
- 0528T 0418T denies
- 0530T 0418T denies
- 0531T 0418T denies
- 0532T 0418T denies
- 0575T 0418T denies
- 0576T 0418T denies
- 0903T 0903T denies
- 0904T 0904T denies
- 0905T 0905T denies
- 0937T 0937T denies
- 0938T 0938T denies
- 0939T 0939T denies
- 0940T 0940T denies
- 33274 0418T denies
- 33275 0418T denies
- 33285 0418T denies
- 93000 93000 denies
- 93005 93005 denies
- 93010 93010 denies
- 93040 93040 denies
- 93041 93041 denies
- 93042 93042 denies
- 93224 93224 denies
- 93225 93225 denies
- 93226 93226 denies
- 93227 93227 denies
- 93228 93228 denies
- 93229 93229 denies
- 93241 93241 denies
- 93242 93242 denies
- 93243 93243 denies
- 93244 93244 denies
- 93245 93245 denies
- 93246 93246 denies
- 93247 93247 denies
- 93248 93248 denies
- 93260 0418T denies
- 93261 0418T denies
- G0448 0418T 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.