NCCI edits for CPT 12001
CMS lists 74 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 5,740 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
- 0710T 12001 denies
- 0711T 12001 denies
- 0712T 12001 denies
- 0713T 12001 denies
- 12002 12001 denies
- 12004 12001 denies
- 12005 12001 denies
- 12006 12001 denies
- 12007 12001 denies
- 33477 12001 denies
- 36591 36591 denies
- 36592 36592 denies
- 37252 12001 denies
- 37253 12001 denies
- 47537 12001 denies
- 47538 12001 denies
- 47539 12001 denies
- 47540 12001 denies
- 47541 12001 denies
- 47542 12001 denies
- 47543 12001 denies
- 47544 12001 denies
- 50433 12001 denies
- 50606 12001 denies
- 50705 12001 denies
- 50706 12001 denies
- 61651 12001 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
- 64462 12001 denies
- 64479 64479 denies
- 64480 64480 denies
- 64483 64483 denies
Showing 50 of 74. 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.
- 0219T 12001 denies
- 0220T 12001 denies
- 0221T 12001 denies
- 0308T 12001 denies
- 0335T 12001 denies
- 0338T 12001 denies
- 0339T 12001 denies
- 0342T 12001 denies
- 0345T 12001 denies
- 0347T 12001 denies
- 0395T 12001 denies
- 0397T 12001 denies
- 0402T 12001 denies
- 0408T 12001 denies
- 0409T 12001 denies
- 0410T 12001 denies
- 0411T 12001 denies
- 0412T 12001 denies
- 0413T 12001 denies
- 0414T 12001 denies
- 0415T 12001 denies
- 0416T 12001 denies
- 0419T 12001 denies
- 0420T 12001 denies
- 0437T 12001 denies
- 0440T 12001 denies
- 0441T 12001 denies
- 0442T 12001 denies
- 0444T 12001 denies
- 0445T 12001 denies
- 0446T 12001 denies
- 0447T 12001 denies
- 0448T 12001 denies
- 0449T 12001 denies
- 0450T 12001 denies
- 0474T 12001 denies
- 0479T 12001 denies
- 0480T 12001 denies
- 0481T 12001 denies
- 0483T 12001 denies
- 0484T 12001 denies
- 0489T 12001 denies
- 0490T 12001 denies
- 0505T 12001 denies
- 0510T 12001 denies
- 0511T 12001 denies
- 0512T 12001 denies
- 0513T 12001 denies
- 0515T 12001 denies
- 0516T 12001 denies
Showing 50 of 5,740. 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.