NCCI edits for CPT 0898T
CMS lists 10 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 75 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.
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.
- 0559T 0898T denies
- 0561T 0898T denies
- 0600T 0898T denies
- 0601T 0898T denies
- 0655T 0898T denies
- 0714T 0898T denies
- 0721T 0898T denies
- 0739T 0739T denies
- 0903T 0903T denies
- 0904T 0904T denies
- 0905T 0905T denies
- 55801 0898T denies
- 55810 0898T denies
- 55812 0898T denies
- 55815 0898T denies
- 55821 0898T denies
- 55831 0898T denies
- 55840 0898T denies
- 55842 0898T denies
- 55845 0898T denies
- 55866 0898T denies
- 55867 0898T denies
- 55873 0898T denies
- 55880 0898T denies
- 72191 0898T denies
- 72198 0898T denies
- 78812 0898T denies
- 78813 0898T denies
- 78815 0898T denies
- 78816 0898T denies
- 78830 0898T denies
- 78831 0898T denies
- 78832 0898T denies
- 92012 92012 denies
- 92014 92014 denies
- 99211 99211 denies
- 99212 99212 denies
- 99213 99213 denies
- 99214 99214 denies
- 99215 99215 denies
- 99221 99221 denies
- 99222 99222 denies
- 99223 99223 denies
- 99231 99231 denies
- 99232 99232 denies
- 99233 99233 denies
- 99234 99234 denies
- 99235 99235 denies
- 99236 99236 denies
- 99238 99238 denies
Showing 50 of 75. 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.