NCCI edits for CPT 0947T
CMS lists 34 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 123 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, and it is the Column Two code that is denied while Column One is paid.
- 00222 00222 denies
- 0333T 0333T denies
- 20660 20660 denies
- 36591 36591 denies
- 36592 36592 denies
- 61650 61650 denies
- 62326 62326 denies
- 62327 62327 denies
- 64461 64461 denies
- 64463 64463 denies
- 69990 69990 denies
- 95940 95940 denies
- 95941 95941 denies
- 96523 96523 denies
- 99304 99304 denies
- 99305 99305 denies
- 99306 99306 denies
- 99307 99307 denies
- 99308 99308 denies
- 99309 99309 denies
- 99310 99310 denies
- 99315 99315 denies
- 99316 99316 denies
- 99347 99347 denies
- 99348 99348 denies
- 99349 99349 denies
- 99350 99350 denies
- 99446 99446 denies
- 99447 99447 denies
- 99448 99448 denies
- 99449 99449 denies
- 99451 99451 denies
- 99452 99452 denies
- G0453 G0453 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.
- 0464T 0464T denies
- 0648T 0947T 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
- 13132 13132 denies
- 13151 13151 denies
- 13152 13152 denies
- 20661 20661 denies
- 61796 0947T denies
- 61798 0947T denies
- 61863 0947T denies
- 61867 0947T denies
- 63620 0947T denies
Showing 50 of 123. 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.