NCCI edits for CPT 0469T
CMS lists 178 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 0 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.
- 0591T 0469T denies
- 0592T 0469T denies
- 0593T 0469T denies
- 0734T 0469T denies
- 36591 36591 denies
- 36592 36592 denies
- 92002 0469T denies
- 92004 0469T denies
- 92012 0469T denies
- 92014 0469T denies
- 92015 92015 denies
- 96523 96523 denies
- 98000 0469T denies
- 98001 0469T denies
- 98002 0469T denies
- 98003 0469T denies
- 98004 0469T denies
- 98005 0469T denies
- 98006 0469T denies
- 98007 0469T denies
- 98008 0469T denies
- 98009 0469T denies
- 98010 0469T denies
- 98011 0469T denies
- 98012 0469T denies
- 98013 0469T denies
- 98014 0469T denies
- 98015 0469T denies
- 98016 0469T denies
- 99172 0469T denies
- 99173 0469T denies
- 99174 0469T denies
- 99177 0469T denies
- 99202 0469T denies
- 99203 0469T denies
- 99204 0469T denies
- 99205 0469T denies
- 99211 0469T denies
- 99212 0469T denies
- 99213 0469T denies
- 99214 0469T denies
- 99215 0469T denies
- 99221 0469T denies
- 99222 0469T denies
- 99223 0469T denies
- 99231 0469T denies
- 99232 0469T denies
- 99233 0469T denies
- 99234 0469T denies
- 99235 0469T denies
Showing 50 of 178. 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.