NCCI edits for CPT 49255
CMS lists 469 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 176 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
- 0586T 49255 denies
- 0600T 49255 denies
- 0601T 49255 denies
- 0664T 49255 denies
- 0665T 49255 denies
- 0667T 49255 denies
- 0894T 49255 denies
- 0895T 49255 denies
- 36260 49255 denies
- 36261 49255 denies
- 36262 49255 denies
- 36591 36591 denies
- 36592 36592 denies
- 38100 49255 denies
- 38101 49255 denies
- 38115 49255 denies
- 38382 49255 denies
- 38562 49255 denies
- 38573 49255 denies
- 39501 49255 denies
- 39503 49255 denies
- 39540 49255 denies
- 39541 49255 denies
- 39545 49255 denies
- 39560 49255 denies
- 39561 49255 denies
- 43101 49255 denies
- 43107 49255 denies
- 43108 49255 denies
- 43112 49255 denies
- 43113 49255 denies
- 43116 49255 denies
- 43117 49255 denies
- 43118 49255 denies
- 43121 49255 denies
- 43122 49255 denies
- 43123 49255 denies
- 43124 49255 denies
- 43286 49255 denies
- 43288 49255 denies
- 43320 49255 denies
- 43325 49255 denies
- 43327 49255 denies
- 43330 49255 denies
- 43332 49255 denies
- 43333 49255 denies
- 43336 49255 denies
- 43337 49255 denies
Showing 50 of 469. 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
- 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
- 12051 12051 denies
- 12052 12052 denies
- 12053 12053 denies
- 12054 12054 denies
- 12055 12055 denies
Showing 50 of 176. 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.