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: Q3 2026. Source: CMS National Correct Coding Initiative (NCCI) Edits. Complete plain-text list.
Check a paired code Copy link
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, and it is the Column Two code that is denied while Column One 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.