NCCI edits for CPT 0801T
CMS lists 19 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 28 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.
- 0795T 0795T denies
- 0798T 0798T denies
- 0799T 0799T denies
- 0800T 0800T denies
- 33274 33274 denies
- 33275 33275 denies
- 36591 36591 denies
- 36592 36592 denies
- 75820 75820 denies
- 76000 76000 denies
- 76937 76937 denies
- 77002 77002 denies
- 93451 93451 denies
- 93453 93453 denies
- 93456 93456 denies
- 93457 93457 denies
- 93460 93460 denies
- 93461 93461 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.
- 11000 11000 denies
- 11004 11004 denies
- 11005 11005 denies
- 11006 11006 denies
- 11042 11042 denies
- 11043 11043 denies
- 11044 11044 denies
- 35201 35201 denies
- 35206 35206 denies
- 35207 35207 denies
- 35211 35211 denies
- 35216 35216 denies
- 35221 35221 denies
- 35226 35226 denies
- 35231 35231 denies
- 35236 35236 denies
- 35241 35241 denies
- 35246 35246 denies
- 35251 35251 denies
- 35256 35256 denies
- 35261 35261 denies
- 35266 35266 denies
- 35271 35271 denies
- 35276 35276 denies
- 35281 35281 denies
- 35286 35286 denies
- 97597 97597 denies
- 97602 97602 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.