NCCI edits for CPT 0912T
CMS lists 15 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 45 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.
- 0589T 0589T denies
- 0590T 0590T denies
- 0788T 0912T denies
- 0789T 0912T denies
- 0816T 0912T denies
- 0817T 0912T denies
- 0818T 0912T denies
- 0819T 0912T denies
- 33276 0912T denies
- 33280 0912T denies
- 33287 0912T denies
- 43647 0912T denies
- 43648 0912T denies
- 43881 0912T denies
- 43882 0912T denies
- 61850 0912T denies
- 61860 0912T denies
- 61863 0912T denies
- 61867 0912T denies
- 61880 0912T denies
- 61885 0912T denies
- 61886 0912T denies
- 61888 0912T denies
- 63650 0912T denies
- 63655 0912T denies
- 63661 0912T denies
- 63662 0912T denies
- 63663 0912T denies
- 63664 0912T denies
- 63685 0912T denies
- 63688 0912T denies
- 64553 0912T denies
- 64555 0912T denies
- 64561 0912T denies
- 64566 0912T denies
- 64575 0912T denies
- 64580 0912T denies
- 64581 0912T denies
- 64582 0912T denies
- 64583 0912T denies
- 64584 0912T denies
- 64585 0912T denies
- 64590 0912T denies
- 64595 0912T denies
- G0463 0912T 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.