NCCI edits for CPT 0916T
CMS lists 133 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 165 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.
- 00530 00530 denies
- 00534 00534 denies
- 0213T 0213T denies
- 0216T 0216T denies
- 0408T 0916T denies
- 0410T 0916T denies
- 0411T 0916T denies
- 0412T 0412T denies
- 0414T 0916T denies
- 0416T 0416T denies
- 0417T 0417T denies
- 0418T 0418T denies
- 0576T 0576T denies
- 0915T 0916T denies
- 0919T 0919T denies
- 0923T 0923T denies
- 0925T 0925T denies
- 0926T 0926T denies
- 0927T 0927T denies
- 0931T 0916T denies
- 33206 0916T denies
- 33207 0916T denies
- 33208 0916T denies
- 33210 0916T denies
- 33211 0916T denies
- 33212 0916T denies
- 33213 0916T denies
- 33214 0916T denies
- 33215 0916T denies
- 33216 0916T denies
- 33217 0916T denies
- 33218 0916T denies
- 33220 0916T denies
- 33221 0916T denies
- 33222 0916T denies
- 33223 0916T denies
- 33224 0916T denies
- 33225 0916T denies
- 33226 0916T denies
- 33227 0916T denies
- 33229 0916T denies
- 33230 0916T denies
- 33231 0916T denies
- 33240 0916T denies
- 33249 0916T denies
- 33250 0916T denies
- 33251 0916T denies
- 33254 0916T denies
- 33255 0916T denies
- 33256 0916T denies
Showing 50 of 133. 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.
- 0575T 0575T denies
- 0596T 0596T denies
- 0597T 0597T denies
- 0708T 0708T denies
- 11000 11000 denies
- 11004 11004 denies
- 11005 11005 denies
- 11006 11006 denies
- 11042 11042 denies
- 11043 11043 denies
- 11044 11044 denies
- 12001 12001 denies
- 12002 12002 denies
- 12004 12004 denies
- 12005 12005 denies
- 12006 12006 denies
- 12007 12007 denies
- 12011 12011 denies
- 12013 12013 denies
- 12014 12014 denies
- 12015 12015 denies
- 12016 12016 denies
- 12017 12017 denies
- 12018 12018 denies
- 12020 12020 denies
- 12021 12021 denies
- 12031 12031 denies
- 12032 12032 denies
- 12034 12034 denies
- 12035 12035 denies
- 12036 12036 denies
- 12037 12037 denies
- 12041 12041 denies
- 12042 12042 denies
- 12044 12044 denies
- 12045 12045 denies
- 12046 12046 denies
- 12047 12047 denies
- 12051 12051 denies
- 12052 12052 denies
- 12053 12053 denies
- 12054 12054 denies
- 12055 12055 denies
- 12056 12056 denies
- 12057 12057 denies
- 13100 13100 denies
- 13101 13101 denies
- 13120 13120 denies
- 13121 13121 denies
- 13131 13131 denies
Showing 50 of 165. 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.