NCCI edits for CPT 69990
CMS lists 5,563 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 49 pairs with modifier indicator 1, where an NCCI-associated modifier may be allowed when the documentation supports it.
NCCI release: Q4 2026. Source: CMS National Correct Coding Initiative (NCCI) Edits. Complete plain-text list.
Check a paired code Copy link
Medically Unlikely Edit (MUE) Copy link
The published MUE is 1 unit per patient per date of service.
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: the Column Two code is denied and the Column One code is paid.
- 0054T 69990 denies
- 0055T 69990 denies
- 0071T 69990 denies
- 0072T 69990 denies
- 0075T 69990 denies
- 0100T 69990 denies
- 0101T 69990 denies
- 0102T 69990 denies
- 0184T 69990 denies
- 0200T 69990 denies
- 0201T 69990 denies
- 0202T 69990 denies
- 0207T 69990 denies
- 0213T 69990 denies
- 0216T 69990 denies
- 0219T 69990 denies
- 0220T 69990 denies
- 0221T 69990 denies
- 0234T 69990 denies
- 0235T 69990 denies
- 0236T 69990 denies
- 0237T 69990 denies
- 0238T 69990 denies
- 0253T 69990 denies
- 0263T 69990 denies
- 0265T 69990 denies
- 0274T 69990 denies
- 0308T 69990 denies
- 0335T 69990 denies
- 0338T 69990 denies
- 0339T 69990 denies
- 0342T 69990 denies
- 0345T 69990 denies
- 0347T 69990 denies
- 0397T 69990 denies
- 0402T 69990 denies
- 0408T 69990 denies
- 0409T 69990 denies
- 0410T 69990 denies
- 0411T 69990 denies
- 0412T 69990 denies
- 0413T 69990 denies
- 0414T 69990 denies
- 0415T 69990 denies
- 0416T 69990 denies
- 0419T 69990 denies
- 0420T 69990 denies
- 0437T 69990 denies
- 0440T 69990 denies
- 0441T 69990 denies
Showing 50 of 5,563. 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.
- 13100 69990 denies
- 13101 69990 denies
- 13102 69990 denies
- 13120 69990 denies
- 13121 69990 denies
- 13122 69990 denies
- 13131 69990 denies
- 13132 69990 denies
- 13133 69990 denies
- 13151 69990 denies
- 13152 69990 denies
- 13153 69990 denies
- 26350 69990 denies
- 35207 69990 denies
- 36100 69990 denies
- 36140 69990 denies
- 36215 69990 denies
- 36216 69990 denies
- 36217 69990 denies
- 43180 69990 denies
- 46601 69990 denies
- 46607 69990 denies
- 61105 69990 denies
- 61107 69990 denies
- 61108 69990 denies
- 61120 69990 denies
- 61140 69990 denies
- 61150 69990 denies
- 61151 69990 denies
- 61154 69990 denies
- 61156 69990 denies
- 61210 69990 denies
- 61781 69990 denies
- 61782 69990 denies
- 61783 69990 denies
- 62000 69990 denies
- 62005 69990 denies
- 62115 69990 denies
- 62117 69990 denies
- 62120 69990 denies
- 62121 69990 denies
- 62140 69990 denies
- 62141 69990 denies
- 62142 69990 denies
- 62143 69990 denies
- 62145 69990 denies
- 62146 69990 denies
- 62147 69990 denies
- 62160 69990 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.