NCCI edits for CPT 0937T
CMS lists 17 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 80 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.
- 36591 36591 denies
- 36592 36592 denies
- 93224 0937T denies
- 93225 0937T denies
- 93226 0937T denies
- 93227 0937T denies
- 93228 0937T denies
- 93229 0937T denies
- 93245 0937T denies
- 93268 0937T denies
- 93270 0937T denies
- 93271 0937T denies
- 93272 0937T denies
- 96523 96523 denies
- 99091 0937T denies
- 99453 0937T denies
- 99454 0937T denies
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.
- 0417T 0937T denies
- 0418T 0937T denies
- 0521T 0937T denies
- 0522T 0937T denies
- 0525T 0937T denies
- 0526T 0937T denies
- 0527T 0937T denies
- 0528T 0937T denies
- 0575T 0937T denies
- 0576T 0937T denies
- 0578T 0937T denies
- 0579T 0937T denies
- 0650T 0937T denies
- 0659T 0937T denies
- 0696T 0937T denies
- 0733T 0937T denies
- 92920 0937T denies
- 92924 0937T denies
- 92928 0937T denies
- 92933 0937T denies
- 92937 0937T denies
- 92941 0937T denies
- 92943 0937T denies
- 93000 93000 denies
- 93005 93005 denies
- 93010 93010 denies
- 93040 93040 denies
- 93041 93041 denies
- 93042 93042 denies
- 93260 0937T denies
- 93261 0937T denies
- 93264 0937T denies
- 93279 0937T denies
- 93280 0937T denies
- 93281 0937T denies
- 93282 0937T denies
- 93283 0937T denies
- 93284 0937T denies
- 93285 0937T denies
- 93286 0937T denies
- 93287 0937T denies
- 93288 0937T denies
- 93289 0937T denies
- 93291 0937T denies
- 93292 0937T denies
- 93293 0937T denies
- 93294 0937T denies
- 93295 0937T denies
- 93296 0937T denies
- 93297 0937T denies
Showing 50 of 80. 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.