NCCI edits for CPT 0575T
CMS lists 133 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 55 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.
- 0515T 0575T denies
- 0516T 0575T denies
- 0517T 0575T denies
- 0519T 0575T denies
- 0520T 0575T denies
- 0525T 0575T denies
- 0526T 0575T denies
- 0527T 0575T denies
- 0571T 0575T denies
- 0572T 0575T denies
- 0573T 0575T denies
- 0574T 0575T denies
- 0576T 0576T denies
- 0580T 0580T denies
- 0614T 0575T denies
- 0650T 0575T denies
- 0695T 0575T denies
- 0696T 0575T denies
- 0734T 0734T denies
- 0917T 0575T denies
- 0918T 0575T denies
- 0919T 0575T denies
- 0920T 0575T denies
- 0921T 0921T denies
- 0922T 0575T denies
- 0923T 0575T denies
- 0928T 0575T denies
- 0929T 0575T denies
- 0930T 0575T denies
- 33202 33202 denies
- 33203 33203 denies
- 33206 0575T denies
- 33207 0575T denies
- 33208 0575T denies
- 33210 0575T denies
- 33211 0575T denies
- 33212 0575T denies
- 33213 0575T denies
- 33214 0575T denies
- 33215 0575T denies
- 33216 0575T denies
- 33217 0575T denies
- 33218 0575T denies
- 33220 0575T denies
- 33221 0575T denies
- 33222 0575T denies
- 33223 0575T denies
- 33224 0575T denies
- 33225 0575T denies
- 33226 0575T denies
Showing 50 of 133. 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.
- 0408T 0575T denies
- 0409T 0575T denies
- 0410T 0575T denies
- 0411T 0575T denies
- 0412T 0575T denies
- 0413T 0575T denies
- 0414T 0575T denies
- 0415T 0575T denies
- 0416T 0575T denies
- 0418T 0418T denies
- 0518T 0575T denies
- 0521T 0521T denies
- 0529T 0529T denies
- 0530T 0575T denies
- 0531T 0575T denies
- 0532T 0575T denies
- 0903T 0903T denies
- 0904T 0904T denies
- 0905T 0905T denies
- 0915T 0575T denies
- 0916T 0575T denies
- 0927T 0927T denies
- 0933T 0575T denies
- 0934T 0575T denies
- 0937T 0937T denies
- 0938T 0938T denies
- 0939T 0939T denies
- 0940T 0940T denies
- 33285 0575T denies
- 33289 0575T denies
- 76018 0575T denies
- 92960 0575T denies
- 92961 0575T denies
- 93000 93000 denies
- 93005 93005 denies
- 93010 93010 denies
- 93040 93040 denies
- 93041 93041 denies
- 93042 93042 denies
- 93224 93224 denies
- 93225 93225 denies
- 93226 93226 denies
- 93227 93227 denies
- 93228 93228 denies
- 93229 93229 denies
- 93241 93241 denies
- 93242 93242 denies
- 93243 93243 denies
- 93244 93244 denies
- 93245 93245 denies
Showing 50 of 55. 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.