NCCI edits for CPT 0495T
CMS lists 3 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 42 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.
- 0694T 0694T denies
- 0781T 0781T denies
- 0782T 0782T denies
- 31622 31622 denies
- 31623 31623 denies
- 31624 31624 denies
- 31625 31625 denies
- 31626 31626 denies
- 31627 31627 denies
- 31628 31628 denies
- 31629 31629 denies
- 31630 31630 denies
- 31631 31631 denies
- 31632 31632 denies
- 31633 31633 denies
- 31634 31634 denies
- 31635 31635 denies
- 31636 31636 denies
- 31637 31637 denies
- 31638 31638 denies
- 31640 31640 denies
- 31641 31641 denies
- 31643 31643 denies
- 31645 31645 denies
- 31646 31646 denies
- 31647 31647 denies
- 31648 31648 denies
- 31649 31649 denies
- 31651 31651 denies
- 31652 31652 denies
- 31653 31653 denies
- 31654 31654 denies
- 71045 71045 denies
- 71046 71046 denies
- 71047 71047 denies
- 71048 71048 denies
- 76098 76098 denies
- 82800 82800 denies
- 82803 82803 denies
- 82805 82805 denies
- 82810 82810 denies
- 82820 82820 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.