NCCI edits for CPT 0904T
CMS lists 54 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 5,954 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.
- 0905T 0905T denies
- 36591 36591 denies
- 36592 36592 denies
- 62320 0904T denies
- 62321 0904T denies
- 62322 0904T denies
- 62323 0904T denies
- 62324 0904T denies
- 62325 0904T denies
- 62326 0904T denies
- 62327 0904T denies
- 64400 0904T denies
- 64405 0904T denies
- 64408 0904T denies
- 64415 0904T denies
- 64416 0904T denies
- 64417 0904T denies
- 64418 0904T denies
- 64420 0904T denies
- 64425 0904T denies
- 64430 0904T denies
- 64435 0904T denies
- 64445 0904T denies
- 64446 0904T denies
- 64447 0904T denies
- 64448 0904T denies
- 64449 0904T denies
- 64450 0904T denies
- 64451 0904T denies
- 64454 0904T denies
- 64455 0904T denies
- 64461 0904T denies
- 64463 0904T denies
- 64479 0904T denies
- 64483 0904T denies
- 64486 0904T denies
- 64487 0904T denies
- 64488 0904T denies
- 64489 0904T denies
- 64490 0904T denies
- 64493 0904T denies
- 64505 0904T denies
- 64510 0904T denies
- 64517 0904T denies
- 64520 0904T denies
- 64530 0904T denies
- 93000 0904T denies
- 93005 0904T denies
- 93010 0904T denies
- 93278 0904T denies
Showing 50 of 54. The plain-text version contains every pair.
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.
- 00100 0904T denies
- 00102 0904T denies
- 00103 0904T denies
- 00104 0904T denies
- 00120 0904T denies
- 00124 0904T denies
- 00126 0904T denies
- 00140 0904T denies
- 00142 0904T denies
- 00144 0904T denies
- 00145 0904T denies
- 00147 0904T denies
- 00148 0904T denies
- 00160 0904T denies
- 00162 0904T denies
- 00164 0904T denies
- 00170 0904T denies
- 00172 0904T denies
- 00174 0904T denies
- 00176 0904T denies
- 00190 0904T denies
- 00192 0904T denies
- 00210 0904T denies
- 00211 0904T denies
- 00212 0904T denies
- 00214 0904T denies
- 00215 0904T denies
- 00216 0904T denies
- 00218 0904T denies
- 00220 0904T denies
- 00222 0904T denies
- 00300 0904T denies
- 00320 0904T denies
- 00322 0904T denies
- 00326 0904T denies
- 00350 0904T denies
- 00352 0904T denies
- 00400 0904T denies
- 00402 0904T denies
- 00404 0904T denies
- 00406 0904T denies
- 00410 0904T denies
- 00450 0904T denies
- 00454 0904T denies
- 00470 0904T denies
- 00472 0904T denies
- 00474 0904T denies
- 00500 0904T denies
- 00520 0904T denies
- 00522 0904T denies
Showing 50 of 5,954. 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.