NCCI edits for CPT 0543T
CMS lists 84 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 198 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.
- 0213T 0213T denies
- 0216T 0216T denies
- 0345T 0345T denies
- 0483T 0483T denies
- 0484T 0484T denies
- 0643T 0643T denies
- 20680 20680 denies
- 21750 21750 denies
- 33140 33140 denies
- 33210 33210 denies
- 33211 33211 denies
- 33254 33254 denies
- 33255 33255 denies
- 33256 33256 denies
- 36591 36591 denies
- 36592 36592 denies
- 62320 0543T denies
- 62321 0543T denies
- 62322 0543T denies
- 62323 0543T denies
- 62324 0543T denies
- 62325 0543T denies
- 62326 0543T denies
- 62327 0543T denies
- 64400 0543T denies
- 64405 0543T denies
- 64408 0543T denies
- 64415 0543T denies
- 64416 0543T denies
- 64417 0543T denies
- 64418 0543T denies
- 64420 0543T denies
- 64421 0543T denies
- 64425 0543T denies
- 64430 0543T denies
- 64435 0543T denies
- 64445 0543T denies
- 64446 0543T denies
- 64447 0543T denies
- 64448 0543T denies
- 64449 0543T denies
- 64450 64450 denies
- 64461 0543T denies
- 64462 0543T denies
- 64463 0543T denies
- 64466 0543T denies
- 64467 0543T denies
- 64468 0543T denies
- 64469 0543T denies
- 64479 0543T denies
Showing 50 of 84. The plain-text version contains every pair.
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.
- 0596T 0543T denies
- 0597T 0543T denies
- 0632T 0632T denies
- 0708T 0543T denies
- 0709T 0543T denies
- 0903T 0543T denies
- 0904T 0543T denies
- 0905T 0543T denies
- 0932T 0543T denies
- 11000 11000 denies
- 11001 11001 denies
- 11004 11004 denies
- 11005 11005 denies
- 11006 11006 denies
- 11042 11042 denies
- 11043 11043 denies
- 11044 11044 denies
- 11045 11045 denies
- 11046 11046 denies
- 11047 11047 denies
- 12001 0543T denies
- 12002 0543T denies
- 12004 0543T denies
- 12005 0543T denies
- 12006 0543T denies
- 12007 0543T denies
- 12020 0543T denies
- 12021 0543T denies
- 12031 0543T denies
- 12032 0543T denies
- 12034 0543T denies
- 12035 0543T denies
- 12036 0543T denies
- 12037 0543T denies
- 12041 0543T denies
- 12042 12042 denies
- 12044 12044 denies
- 12045 12045 denies
- 12046 12046 denies
- 12047 12047 denies
- 13100 0543T denies
- 13101 0543T denies
- 13102 0543T denies
- 13120 0543T denies
- 13121 0543T denies
- 13122 0543T denies
- 13131 13131 denies
- 13132 13132 denies
- 13133 13133 denies
- 32100 32100 denies
Showing 50 of 198. 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.