NCCI edits for CPT 90697
CMS lists 21 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 0 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.
- 36591 36591 denies
- 36592 36592 denies
- 90647 90647 denies
- 90648 90648 denies
- 90678 90678 denies
- 90696 90696 denies
- 90698 90698 denies
- 90700 90700 denies
- 90702 90702 denies
- 90713 90713 denies
- 90714 90714 denies
- 90715 90715 denies
- 90739 90739 denies
- 90740 90740 denies
- 90743 90743 denies
- 90744 90744 denies
- 90746 90746 denies
- 90747 90747 denies
- 90748 90748 denies
- 90759 90759 denies
- 96523 96523 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.