NCCI edits for CPT 90953
CMS lists 42 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 140 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
- 90951 90953 denies
- 90952 90953 denies
- 90954 90953 denies
- 90955 90953 denies
- 90956 90953 denies
- 90957 90953 denies
- 90958 90953 denies
- 90959 90953 denies
- 90960 90953 denies
- 90961 90953 denies
- 90962 90953 denies
- 90963 90953 denies
- 90964 90953 denies
- 90965 90953 denies
- 90966 90953 denies
- 90967 90953 denies
- 90968 90953 denies
- 90969 90953 denies
- 90970 90953 denies
- 96523 96523 denies
- 97802 97802 denies
- 97803 97803 denies
- 97804 97804 denies
- 99424 99424 denies
- 99425 99425 denies
- 99426 99426 denies
- 99427 99427 denies
- 99437 99437 denies
- 99439 90953 denies
- 99484 99484 denies
- 99487 90953 denies
- 99489 90953 denies
- 99490 90953 denies
- 99491 90953 denies
- 99492 99492 denies
- 99493 99493 denies
- 99494 99494 denies
- G0270 G0270 denies
- G0271 G0271 denies
- G0506 G0506 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.
- 0407U 0407U denies
- 0591T 0591T denies
- 0592T 0592T denies
- 0593T 0593T denies
- 96160 96160 denies
- 96161 96161 denies
- 98000 98000 denies
- 98001 98001 denies
- 98002 98002 denies
- 98003 98003 denies
- 98004 98004 denies
- 98005 98005 denies
- 98006 98006 denies
- 98007 98007 denies
- 98008 98008 denies
- 98009 98009 denies
- 98010 98010 denies
- 98011 98011 denies
- 98012 98012 denies
- 98013 98013 denies
- 98014 98014 denies
- 98015 98015 denies
- 98016 98016 denies
- 99202 99202 denies
- 99203 99203 denies
- 99204 99204 denies
- 99205 99205 denies
- 99211 99211 denies
- 99212 99212 denies
- 99213 99213 denies
- 99214 99214 denies
- 99215 99215 denies
- 99234 99234 denies
- 99235 99235 denies
- 99236 99236 denies
- 99238 99238 denies
- 99239 99239 denies
- 99242 99242 denies
- 99243 99243 denies
- 99244 99244 denies
- 99245 99245 denies
- 99252 99252 denies
- 99253 99253 denies
- 99254 99254 denies
- 99255 99255 denies
- 99281 99281 denies
- 99282 99282 denies
- 99283 99283 denies
- 99284 99284 denies
- 99285 99285 denies
Showing 50 of 140. 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.