NCCI edits for CPT 11005
CMS lists 67 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 3,204 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.
- 0213T 0213T denies
- 0216T 0216T denies
- 11004 11004 denies
- 11006 11005 denies
- 36591 36591 denies
- 36592 36592 denies
- 62320 62320 denies
- 62321 62321 denies
- 62322 62322 denies
- 62323 62323 denies
- 62324 62324 denies
- 62325 62325 denies
- 62326 62326 denies
- 62327 62327 denies
- 64400 64400 denies
- 64405 64405 denies
- 64408 64408 denies
- 64415 64415 denies
- 64416 64416 denies
- 64417 64417 denies
- 64418 64418 denies
- 64420 64420 denies
- 64421 64421 denies
- 64425 64425 denies
- 64430 64430 denies
- 64435 64435 denies
- 64445 64445 denies
- 64446 64446 denies
- 64447 64447 denies
- 64448 64448 denies
- 64449 64449 denies
- 64451 64451 denies
- 64461 64461 denies
- 64462 64462 denies
- 64463 64463 denies
- 64473 64473 denies
- 64474 64474 denies
- 64479 64479 denies
- 64480 64480 denies
- 64483 64483 denies
- 64484 64484 denies
- 64486 64486 denies
- 64487 64487 denies
- 64488 64488 denies
- 64489 64489 denies
- 64490 64490 denies
- 64491 64491 denies
- 64492 64492 denies
- 64493 64493 denies
- 64494 64494 denies
Showing 50 of 67. 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.
- 0100T 11005 denies
- 0164T 11005 denies
- 0165T 11005 denies
- 0184T 11005 denies
- 0200T 11005 denies
- 0201T 11005 denies
- 0202T 11005 denies
- 0234T 11005 denies
- 0235T 11005 denies
- 0236T 11005 denies
- 0237T 11005 denies
- 0238T 11005 denies
- 0253T 11005 denies
- 0308T 11005 denies
- 0402T 11005 denies
- 0408T 11005 denies
- 0409T 11005 denies
- 0410T 11005 denies
- 0411T 11005 denies
- 0412T 11005 denies
- 0413T 11005 denies
- 0414T 11005 denies
- 0416T 11005 denies
- 0437T 0437T denies
- 0444T 11005 denies
- 0445T 11005 denies
- 0446T 11005 denies
- 0447T 11005 denies
- 0448T 11005 denies
- 0449T 11005 denies
- 0474T 11005 denies
- 0479T 11005 denies
- 0480T 11005 denies
- 0484T 11005 denies
- 0489T 11005 denies
- 0505T 11005 denies
- 0510T 11005 denies
- 0511T 11005 denies
- 0515T 11005 denies
- 0516T 11005 denies
- 0517T 11005 denies
- 0518T 11005 denies
- 0519T 11005 denies
- 0520T 11005 denies
- 0525T 11005 denies
- 0526T 11005 denies
- 0527T 11005 denies
- 0530T 11005 denies
- 0531T 11005 denies
- 0532T 11005 denies
Showing 50 of 3,204. 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.