NCCI edits for CPT 0897T
CMS lists 6 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 22 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: the Column Two code is denied and the Column One code 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.
- 93040 93040 denies
- 93041 93041 denies
- 93042 93042 denies
- 93224 0897T denies
- 93225 0897T denies
- 93226 0897T denies
- 93227 0897T denies
- 93228 0897T denies
- 93229 0897T denies
- 93241 0897T denies
- 93242 0897T denies
- 93243 0897T denies
- 93244 0897T denies
- 93245 0897T denies
- 93246 0897T denies
- 93247 0897T denies
- 93248 0897T denies
- 93268 0897T denies
- 93270 0897T denies
- 93271 0897T denies
- 93272 0897T denies
- 93278 0897T 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.