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: 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.
- 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.