NCCI edits for CPT 47001
CMS lists 16 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 20 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.
- 36591 36591 denies
- 36592 36592 denies
- 47010 47001 denies
- 47015 47001 denies
- 47100 47001 denies
- 47120 47001 denies
- 47122 47001 denies
- 47125 47001 denies
- 47130 47001 denies
- 47133 47001 denies
- 47135 47001 denies
- 47140 47001 denies
- 47141 47001 denies
- 47142 47001 denies
- 49405 47001 denies
- 96523 96523 denies
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.
- 0674T 47001 denies
- 0675T 47001 denies
- 0676T 47001 denies
- 0677T 47001 denies
- 0678T 47001 denies
- 0679T 47001 denies
- 0894T 47001 denies
- 0895T 47001 denies
- 10005 10005 denies
- 10007 10007 denies
- 10009 10009 denies
- 10011 10011 denies
- 10021 10021 denies
- 43752 43752 denies
- 44602 44602 denies
- 44603 44603 denies
- 44604 44604 denies
- 44605 44605 denies
- 49320 47001 denies
- 49321 47001 denies
NCCI edits are not a coverage determination or a substitute for the current CMS NCCI Policy Manual. Deleted pairs are excluded from this page.