NCCI edits for CPT 0597T
CMS lists 303 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 5,526 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: the Column Two code is denied and the Column One code is paid.
- 00910 00910 denies
- 00916 00916 denies
- 0213T 0213T denies
- 0216T 0216T denies
- 0395T 0597T denies
- 0664T 0597T denies
- 0665T 0597T denies
- 0667T 0597T denies
- 33287 0597T denies
- 36591 36591 denies
- 36592 36592 denies
- 45126 0597T denies
- 51597 0597T denies
- 51600 51600 denies
- 51605 0597T denies
- 51610 51610 denies
- 51700 51700 denies
- 51701 51701 denies
- 51702 51702 denies
- 51703 51703 denies
- 51705 51705 denies
- 51715 0597T denies
- 51720 0597T denies
- 51721 51721 denies
- 51725 51725 denies
- 51726 51726 denies
- 51727 51727 denies
- 51729 0597T denies
- 51736 0597T denies
- 51785 0597T denies
- 51792 0597T denies
- 52000 0597T denies
- 52001 0597T denies
- 52005 52005 denies
- 52007 0597T denies
- 52010 0597T denies
- 52204 0597T denies
- 52214 0597T denies
- 52224 0597T denies
- 52234 0597T denies
- 52235 0597T denies
- 52240 0597T denies
- 52250 0597T denies
- 52260 0597T denies
- 52265 0597T denies
- 52270 0597T denies
- 52275 0597T denies
- 52276 0597T denies
- 52277 0597T denies
- 52281 0597T denies
Showing 50 of 303. 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.
- 0184T 0597T denies
- 0200T 0597T denies
- 0201T 0597T denies
- 0202T 0597T denies
- 0207T 0597T denies
- 0214T 0597T denies
- 0215T 0597T denies
- 0217T 0597T denies
- 0218T 0597T denies
- 0219T 0597T denies
- 0220T 0597T denies
- 0221T 0597T denies
- 0234T 0597T denies
- 0235T 0597T denies
- 0236T 0597T denies
- 0237T 0597T denies
- 0238T 0597T denies
- 0253T 0597T denies
- 0263T 0597T denies
- 0265T 0597T denies
- 0274T 0597T denies
- 0308T 0597T denies
- 0335T 0597T denies
- 0338T 0597T denies
- 0339T 0597T denies
- 0342T 0597T denies
- 0345T 0597T denies
- 0397T 0597T denies
- 0402T 0597T denies
- 0408T 0597T denies
- 0409T 0597T denies
- 0410T 0597T denies
- 0411T 0597T denies
- 0412T 0597T denies
- 0413T 0597T denies
- 0414T 0597T denies
- 0415T 0597T denies
- 0416T 0597T denies
- 0419T 0597T denies
- 0420T 0597T denies
- 0437T 0597T denies
- 0440T 0597T denies
- 0441T 0597T denies
- 0442T 0597T denies
- 0444T 0597T denies
- 0445T 0597T denies
- 0446T 0597T denies
- 0447T 0597T denies
- 0448T 0597T denies
- 0449T 0597T denies
Showing 50 of 5,526. 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.