NCCI edits for CPT 49000
CMS lists 663 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 202 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
- 0234T 49000 denies
- 0235T 49000 denies
- 0236T 49000 denies
- 0586T 49000 denies
- 0600T 49000 denies
- 0601T 49000 denies
- 0656T 49000 denies
- 0657T 49000 denies
- 0664T 49000 denies
- 0665T 49000 denies
- 0667T 49000 denies
- 0894T 49000 denies
- 0895T 49000 denies
- 20205 49000 denies
- 20525 49000 denies
- 22114 49000 denies
- 22224 49000 denies
- 22533 49000 denies
- 22558 49000 denies
- 22586 49000 denies
- 22612 49000 denies
- 22633 49000 denies
- 22634 49000 denies
- 22808 49000 denies
- 22810 49000 denies
- 22812 49000 denies
- 22818 49000 denies
- 22819 49000 denies
- 22845 49000 denies
- 22846 49000 denies
- 22847 49000 denies
- 22853 49000 denies
- 22854 49000 denies
- 22855 49000 denies
- 22857 49000 denies
- 22859 49000 denies
- 22862 49000 denies
- 22865 49000 denies
- 34151 49000 denies
- 34401 49000 denies
- 34451 49000 denies
- 34502 49000 denies
- 34830 49000 denies
- 34831 49000 denies
- 34832 49000 denies
- 34833 49000 denies
- 35091 49000 denies
- 35092 49000 denies
Showing 50 of 663. 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.
- 0596T 0596T denies
- 0597T 0597T denies
- 0708T 0708T denies
- 0709T 0709T denies
- 0903T 0903T denies
- 0904T 0904T denies
- 0905T 0905T denies
- 10005 10005 denies
- 10007 10007 denies
- 10009 10009 denies
- 10011 10011 denies
- 10021 10021 denies
- 11000 11000 denies
- 11001 11001 denies
- 11004 11004 denies
- 11005 11005 denies
- 11006 11006 denies
- 11042 11042 denies
- 11043 11043 denies
- 11044 11044 denies
- 11045 11045 denies
- 11046 11046 denies
- 11047 11047 denies
- 12001 12001 denies
- 12002 12002 denies
- 12004 12004 denies
- 12005 12005 denies
- 12006 12006 denies
- 12007 12007 denies
- 12011 12011 denies
- 12013 12013 denies
- 12014 12014 denies
- 12015 12015 denies
- 12016 12016 denies
- 12017 12017 denies
- 12018 12018 denies
- 12020 12020 denies
- 12021 12021 denies
- 12031 12031 denies
- 12032 12032 denies
- 12034 12034 denies
- 12035 12035 denies
- 12036 12036 denies
- 12037 12037 denies
- 12041 12041 denies
- 12042 12042 denies
- 12044 12044 denies
- 12045 12045 denies
- 12046 12046 denies
- 12047 12047 denies
Showing 50 of 202. 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.