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: Q3 2026. Source: CMS National Correct Coding Initiative (NCCI) Edits. Complete plain-text list.
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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.
- 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.