NCCI edits for CPT 0694T
CMS lists 59 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 192 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 2 units 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.
- 0071T 0694T denies
- 0072T 0694T denies
- 0877T 0694T denies
- 0878T 0694T denies
- 0880T 0694T denies
- 34839 0694T denies
- 36591 36591 denies
- 36592 36592 denies
- 37252 0694T denies
- 70496 0694T denies
- 70498 0694T denies
- 70547 0694T denies
- 70548 0694T denies
- 70549 0694T denies
- 71275 0694T denies
- 71555 0694T denies
- 72159 0694T denies
- 72191 0694T denies
- 72198 0694T denies
- 73206 0694T denies
- 73225 0694T denies
- 73706 0694T denies
- 73725 0694T denies
- 74174 0694T denies
- 74175 0694T denies
- 74185 0694T denies
- 75580 0694T denies
- 75635 0694T denies
- 77280 0694T denies
- 77285 0694T denies
- 77295 0694T denies
- 77301 0694T denies
- 77306 0694T denies
- 77307 0694T denies
- 77316 0694T denies
- 77317 0694T denies
- 77318 0694T denies
- 77402 0694T denies
- 77407 0694T denies
- 77412 0694T denies
- 96523 96523 denies
- C8900 0694T denies
- C8901 0694T denies
- C8902 0694T denies
- C8909 0694T denies
- C8910 0694T denies
- C8911 0694T denies
- C8912 0694T denies
- C8913 0694T denies
- C8914 0694T denies
Showing 50 of 59. 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.
- 0083U 0694T denies
- 0331T 0694T denies
- 0332T 0694T denies
- 0348T 0694T denies
- 0349T 0694T denies
- 0350T 0694T denies
- 0495T 0694T denies
- 0496T 0694T denies
- 0523T 0694T denies
- 0541T 0694T denies
- 0542T 0694T denies
- 0559T 0694T denies
- 0560T 0694T denies
- 0561T 0694T denies
- 0562T 0694T denies
- 0582T 0582T denies
- 0633T 0694T denies
- 0634T 0694T denies
- 0635T 0694T denies
- 0636T 0694T denies
- 0637T 0694T denies
- 0638T 0694T denies
- 0879T 0694T denies
- 19081 0694T denies
- 19082 0694T denies
- 19083 0694T denies
- 19084 0694T denies
- 19085 0694T denies
- 19086 0694T denies
- 31627 0694T denies
- 33016 0694T denies
- 33017 0694T denies
- 33018 0694T denies
- 51721 51721 denies
- 70544 0694T denies
- 70545 0694T denies
- 70546 0694T denies
- 74261 0694T denies
- 74262 0694T denies
- 74263 0694T denies
- 75557 0694T denies
- 75559 0694T denies
- 75561 0694T denies
- 75563 0694T denies
- 75565 0694T denies
- 75571 0694T denies
- 75572 0694T denies
- 75573 0694T denies
- 75574 0694T denies
- 75989 0694T denies
Showing 50 of 192. 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.