NCCI edits for CPT 0781T
CMS lists 17 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 39 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.
- 00520 00520 denies
- 31622 31622 denies
- 31634 31634 denies
- 31647 31647 denies
- 36591 36591 denies
- 36592 36592 denies
- 64451 64451 denies
- 64454 64454 denies
- 89220 89220 denies
- 92511 92511 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.
- 0495T 0781T denies
- 0496T 0781T denies
- 0596T 0596T denies
- 0597T 0597T denies
- 0708T 0708T denies
- 0709T 0709T denies
- 31231 31231 denies
- 31525 31525 denies
- 31526 31526 denies
- 31535 31535 denies
- 31536 31536 denies
- 31540 31540 denies
- 31541 31541 denies
- 31575 31575 denies
- 31615 0781T denies
- 31630 31630 denies
- 31631 31631 denies
- 31638 0781T denies
- 31717 31717 denies
- 31720 31720 denies
- 31725 31725 denies
- 69705 69705 denies
- 69706 69706 denies
- 76000 76000 denies
- 77001 77001 denies
- 77002 77002 denies
- 93355 93355 denies
- 96570 0781T denies
- 99304 99304 denies
- 99305 99305 denies
- 99306 99306 denies
- 99307 99307 denies
- 99308 99308 denies
- 99309 99309 denies
- 99310 99310 denies
- 99495 99495 denies
- 99496 99496 denies
- G0463 G0463 denies
- G0471 G0471 denies
NCCI edits are not a coverage determination or a substitute for the current CMS NCCI Policy Manual. Deleted pairs are excluded from this page.