NCCI edits for CPT 0494T
CMS lists 3 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 34 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.
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.
- 0632T 0632T denies
- 36010 36010 denies
- 36011 36011 denies
- 36012 36012 denies
- 36013 36013 denies
- 36014 36014 denies
- 36015 36015 denies
- 36555 36555 denies
- 36556 36556 denies
- 36557 36557 denies
- 36558 36558 denies
- 36560 36560 denies
- 36561 36561 denies
- 36563 36563 denies
- 36565 36565 denies
- 36566 36566 denies
- 36568 36568 denies
- 36569 36569 denies
- 36570 36570 denies
- 36571 36571 denies
- 36572 36572 denies
- 36573 36573 denies
- 36575 36575 denies
- 36576 36576 denies
- 36578 36578 denies
- 36580 36580 denies
- 36581 36581 denies
- 36582 36582 denies
- 36583 36583 denies
- 36584 36584 denies
- 36585 36585 denies
- 36589 36589 denies
- 36590 36590 denies
- 93503 93503 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.