NCCI edits for CPT 0894T
CMS lists 28 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 54 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.
- 36591 36591 denies
- 36592 36592 denies
- 44005 44005 denies
- 44180 44180 denies
- 44820 44820 denies
- 44850 44850 denies
- 44950 44950 denies
- 44970 44970 denies
- 47562 47562 denies
- 47564 47564 denies
- 47570 47570 denies
- 47600 47600 denies
- 47605 47605 denies
- 47610 47610 denies
- 47612 47612 denies
- 47620 47620 denies
- 47760 47760 denies
- 47780 47780 denies
- 47800 47800 denies
- 47801 47801 denies
- 49000 49000 denies
- 49010 49010 denies
- 49255 49255 denies
- 64449 64449 denies
- 64483 64483 denies
- 69990 69990 denies
- 76000 76000 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.
- 0903T 0903T denies
- 0904T 0904T denies
- 0905T 0905T denies
- 36000 36000 denies
- 36400 36400 denies
- 36405 36405 denies
- 36406 36406 denies
- 36410 36410 denies
- 36420 36420 denies
- 36425 36425 denies
- 36430 36430 denies
- 36440 36440 denies
- 36600 36600 denies
- 36640 36640 denies
- 37140 37140 denies
- 43752 43752 denies
- 47000 47000 denies
- 47001 47001 denies
- 47100 47100 denies
- 47120 47120 denies
- 47122 47122 denies
- 47125 47125 denies
- 47130 47130 denies
- 47533 47533 denies
- 47534 47534 denies
- 47535 47535 denies
- 47536 47536 denies
- 49002 49002 denies
- 49320 49320 denies
- 51701 51701 denies
- 51702 51702 denies
- 51703 51703 denies
- 62322 62322 denies
- 62323 62323 denies
- 62326 62326 denies
- 62327 62327 denies
- 64420 64420 denies
- 64425 64425 denies
- 64486 64486 denies
- 64487 64487 denies
- 64488 64488 denies
- 64489 64489 denies
- 64493 64493 denies
- 64517 64517 denies
- 64520 64520 denies
- 64530 64530 denies
- 76998 76998 denies
- 77012 77012 denies
- 77021 77021 denies
- 96360 96360 denies
Showing 50 of 54. 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.