NCCI edits for CPT 10011
CMS lists 3 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 420 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.
- 0200T 10011 denies
- 0201T 10011 denies
- 0213T 0213T denies
- 0216T 0216T denies
- 0653T 10011 denies
- 0673T 10011 denies
- 0782T 10011 denies
- 10004 10004 denies
- 10005 10011 denies
- 10006 10006 denies
- 10007 10011 denies
- 10008 10008 denies
- 10009 10011 denies
- 10010 10010 denies
- 10021 10011 denies
- 10035 10035 denies
- 11102 10011 denies
- 11103 10011 denies
- 11104 10011 denies
- 11105 10011 denies
- 11106 10011 denies
- 11107 10011 denies
- 11755 10011 denies
- 19081 10011 denies
- 19082 10011 denies
- 19083 10011 denies
- 19084 10011 denies
- 19085 10011 denies
- 19086 10011 denies
- 19100 10011 denies
- 19101 10011 denies
- 19110 10011 denies
- 19112 10011 denies
- 19120 10011 denies
- 19125 10011 denies
- 19281 19281 denies
- 19283 19283 denies
- 19285 19285 denies
- 19287 19287 denies
- 19300 10011 denies
- 19301 10011 denies
- 19302 10011 denies
- 19303 10011 denies
- 19305 10011 denies
- 19306 10011 denies
- 19307 10011 denies
- 19318 10011 denies
- 20200 10011 denies
- 20205 10011 denies
- 20206 10011 denies
Showing 50 of 420. 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.