NCCI edits for CPT 0695T
CMS lists 92 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 298 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.
- 00410 00410 denies
- 00530 00530 denies
- 00537 00537 denies
- 00540 00540 denies
- 0213T 0213T denies
- 0216T 0216T denies
- 0527T 0527T denies
- 0571T 0571T denies
- 0572T 0572T denies
- 0573T 0573T denies
- 0574T 0574T denies
- 0575T 0575T denies
- 0576T 0576T denies
- 0577T 0577T denies
- 0578T 0578T denies
- 0579T 0579T denies
- 0580T 0580T denies
- 33210 33210 denies
- 33211 33211 denies
- 33222 33222 denies
- 33223 33223 denies
- 33227 33227 denies
- 33228 33228 denies
- 33229 33229 denies
- 33230 33230 denies
- 33263 33263 denies
- 33264 33264 denies
- 36591 36591 denies
- 36592 36592 denies
- 62320 62320 denies
- 62321 62321 denies
- 62322 62322 denies
- 62323 62323 denies
- 62324 62324 denies
- 62325 62325 denies
- 62326 62326 denies
- 62327 62327 denies
- 64400 64400 denies
- 64405 64405 denies
- 64408 64408 denies
- 64415 64415 denies
- 64416 64416 denies
- 64417 64417 denies
- 64418 64418 denies
- 64420 64420 denies
- 64421 64421 denies
- 64425 64425 denies
- 64430 64430 denies
- 64435 64435 denies
- 64445 64445 denies
Showing 50 of 92. 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.
- 0521T 0521T denies
- 0522T 0522T denies
- 0525T 0525T denies
- 0526T 0526T denies
- 0528T 0528T denies
- 0529T 0529T denies
- 0530T 0530T denies
- 0531T 0531T denies
- 0532T 0532T denies
- 0596T 0596T denies
- 0597T 0597T denies
- 0614T 0614T denies
- 0632T 0632T denies
- 0903T 0903T denies
- 0904T 0904T denies
- 0905T 0905T denies
- 0919T 0919T denies
- 0920T 0920T denies
- 0921T 0921T denies
- 0922T 0922T denies
- 0928T 0928T denies
- 0929T 0929T denies
- 0934T 0934T 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
- 12001 12001 denies
- 12002 12002 denies
- 12004 12004 denies
- 12005 12005 denies
- 12006 12006 denies
- 12007 12007 denies
- 12011 12011 denies
- 12013 12013 denies
- 12014 12014 denies
- 12015 12015 denies
- 12016 12016 denies
- 12017 12017 denies
- 12018 12018 denies
- 12020 12020 denies
- 12021 12021 denies
- 12031 12031 denies
Showing 50 of 298. 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.