NCCI edits for CPT 17004
CMS lists 71 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 249 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
- 17000 17000 denies
- 17003 17003 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
- 64466 64466 denies
- 64467 64467 denies
- 64468 64468 denies
- 64469 64469 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
Showing 50 of 71. 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.
- 0419T 0419T denies
- 0420T 0420T denies
- 0596T 0596T denies
- 0597T 0597T denies
- 0903T 0903T denies
- 0904T 0904T denies
- 0905T 0905T denies
- 11000 11000 denies
- 11042 11042 denies
- 11055 11055 denies
- 11056 11056 denies
- 11057 11057 denies
- 11102 11102 denies
- 11104 11104 denies
- 11106 11106 denies
- 11200 11200 denies
- 11300 11300 denies
- 11301 11301 denies
- 11302 11302 denies
- 11303 17004 denies
- 11305 11305 denies
- 11306 11306 denies
- 11307 17004 denies
- 11308 17004 denies
- 11310 11310 denies
- 11311 11311 denies
- 11312 17004 denies
- 11313 17004 denies
- 11400 11400 denies
- 11401 17004 denies
- 11402 17004 denies
- 11403 17004 denies
- 11404 17004 denies
- 11406 17004 denies
- 11420 11420 denies
- 11421 17004 denies
- 11422 17004 denies
- 11423 17004 denies
- 11424 17004 denies
- 11426 17004 denies
- 11440 11440 denies
- 11441 17004 denies
- 11442 17004 denies
- 11443 17004 denies
- 11444 17004 denies
- 11446 17004 denies
- 11450 17004 denies
- 11451 17004 denies
- 11462 17004 denies
- 11463 17004 denies
Showing 50 of 249. 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.