NCCI edits for CPT 12034
CMS lists 54 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 5,727 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
- 12031 12031 denies
- 12032 12032 denies
- 12035 12034 denies
- 12036 12034 denies
- 12037 12034 denies
- 36591 36591 denies
- 36592 36592 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
- 64479 64479 denies
- 64480 64480 denies
- 64483 64483 denies
- 64484 64484 denies
- 64490 64490 denies
- 64491 64491 denies
- 64492 64492 denies
- 64493 64493 denies
- 64494 64494 denies
- 64495 64495 denies
- 64505 64505 denies
- 64510 64510 denies
- 64517 64517 denies
- 64520 64520 denies
- 64530 64530 denies
- 69990 69990 denies
- 96523 96523 denies
- 99155 99155 denies
- 99156 99156 denies
- 99157 99157 denies
- 99446 99446 denies
- 99447 99447 denies
- 99448 99448 denies
- 99449 99449 denies
Showing 50 of 54. 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 12034 denies
- 0220T 12034 denies
- 0221T 12034 denies
- 0308T 12034 denies
- 0335T 12034 denies
- 0338T 12034 denies
- 0339T 12034 denies
- 0342T 12034 denies
- 0345T 12034 denies
- 0347T 12034 denies
- 0395T 12034 denies
- 0397T 12034 denies
- 0402T 12034 denies
- 0408T 12034 denies
- 0409T 12034 denies
- 0410T 12034 denies
- 0411T 12034 denies
- 0412T 12034 denies
- 0413T 12034 denies
- 0414T 12034 denies
- 0415T 12034 denies
- 0416T 12034 denies
- 0419T 12034 denies
- 0420T 12034 denies
- 0437T 12034 denies
- 0440T 12034 denies
- 0441T 12034 denies
- 0442T 12034 denies
- 0444T 12034 denies
- 0445T 12034 denies
- 0446T 12034 denies
- 0447T 12034 denies
- 0448T 12034 denies
- 0449T 12034 denies
- 0450T 12034 denies
- 0474T 12034 denies
- 0479T 12034 denies
- 0480T 12034 denies
- 0481T 12034 denies
- 0483T 12034 denies
- 0484T 12034 denies
- 0489T 12034 denies
- 0490T 12034 denies
- 0505T 12034 denies
- 0510T 12034 denies
- 0511T 12034 denies
- 0512T 12034 denies
- 0513T 12034 denies
- 0515T 12034 denies
- 0516T 12034 denies
Showing 50 of 5,727. 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.