NCCI edits for CPT 0801T
CMS lists 3 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: 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.
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.