NCCI edits for CPT 0659T
CMS lists 21 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 103 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.
- 01924 01924 denies
- 01925 01925 denies
- 01926 01926 denies
- 33210 33210 denies
- 36591 36591 denies
- 36592 36592 denies
- 64451 64451 denies
- 64454 64454 denies
- 92924 0659T denies
- 92928 0659T denies
- 92933 0659T denies
- 92937 0659T denies
- 93050 93050 denies
- 93355 93355 denies
- 96523 96523 denies
- 99446 99446 denies
- 99447 99447 denies
- 99448 99448 denies
- 99449 99449 denies
- 99451 99451 denies
- 99452 99452 denies
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 0596T denies
- 0597T 0597T denies
- 0632T 0632T denies
- 0913T 0913T denies
- 0937T 0937T denies
- 0938T 0938T denies
- 0939T 0939T denies
- 0940T 0940T 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
- 33500 0659T denies
- 33501 0659T denies
- 33502 0659T denies
- 33503 0659T denies
- 33504 0659T denies
- 33505 0659T denies
- 33506 0659T denies
- 34713 34713 denies
- 34714 34714 denies
- 34812 34812 denies
- 34813 34813 denies
- 35201 35201 denies
- 35206 35206 denies
- 35226 35226 denies
- 35231 35231 denies
- 35236 35236 denies
- 35256 35256 denies
- 35261 35261 denies
- 35266 35266 denies
- 35286 35286 denies
- 36140 36140 denies
- 36160 36160 denies
- 36200 36200 denies
- 36215 36215 denies
- 36216 36216 denies
- 36217 36217 denies
- 36245 36245 denies
- 36246 36246 denies
- 36247 36247 denies
- 36620 36620 denies
- 36625 36625 denies
Showing 50 of 103. 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.