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, 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.
- 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.