NCCI edits for CPT 0691T
CMS lists 46 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 2 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, and it is the Column Two code that is denied while Column One is paid.
- 0554T 0554T denies
- 0555T 0555T denies
- 0556T 0556T denies
- 0557T 0557T denies
- 0558T 0558T denies
- 0743T 0743T denies
- 36591 36591 denies
- 36592 36592 denies
- 71250 71250 denies
- 71260 71260 denies
- 71270 71270 denies
- 71271 71271 denies
- 71275 71275 denies
- 72125 72125 denies
- 72126 72126 denies
- 72127 72127 denies
- 72128 72128 denies
- 72129 72129 denies
- 72130 72130 denies
- 72131 72131 denies
- 72132 72132 denies
- 72133 72133 denies
- 72191 72191 denies
- 72192 72192 denies
- 72193 72193 denies
- 72194 72194 denies
- 74150 74150 denies
- 74160 74160 denies
- 74170 74170 denies
- 74174 74174 denies
- 74175 74175 denies
- 74176 74176 denies
- 74177 74177 denies
- 74178 74178 denies
- 74261 74261 denies
- 74262 74262 denies
- 74263 74263 denies
- 75571 75571 denies
- 75572 75572 denies
- 75573 75573 denies
- 75574 75574 denies
- 75635 75635 denies
- 78814 78814 denies
- 78815 78815 denies
- 78816 78816 denies
- 96523 96523 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.
NCCI edits are not a coverage determination or a substitute for the current CMS NCCI Policy Manual. Deleted pairs are excluded from this page.