NCCI edits for CPT 93261
CMS lists 111 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 66 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.
- 0408T 93261 denies
- 0409T 93261 denies
- 0410T 93261 denies
- 0411T 93261 denies
- 0412T 93261 denies
- 0413T 93261 denies
- 0414T 93261 denies
- 0415T 93261 denies
- 0416T 93261 denies
- 0515T 93261 denies
- 0516T 93261 denies
- 0517T 93261 denies
- 0518T 93261 denies
- 0519T 93261 denies
- 0520T 93261 denies
- 0521T 93261 denies
- 0571T 0571T denies
- 0572T 0572T denies
- 0573T 0573T denies
- 0574T 0574T denies
- 0575T 0575T denies
- 0576T 0576T denies
- 0577T 0577T denies
- 0578T 0578T denies
- 0579T 0579T denies
- 0580T 0580T denies
- 0614T 93261 denies
- 0695T 93261 denies
- 0734T 0734T denies
- 0915T 93261 denies
- 0916T 93261 denies
- 0918T 93261 denies
- 0919T 93261 denies
- 0920T 93261 denies
- 0921T 93261 denies
- 0922T 93261 denies
- 0927T 0927T denies
- 0928T 93261 denies
- 0929T 0929T denies
- 33206 93261 denies
- 33207 93261 denies
- 33208 93261 denies
- 33210 93261 denies
- 33211 93261 denies
- 33212 93261 denies
- 33213 93261 denies
- 33214 93261 denies
- 33215 93261 denies
- 33216 93261 denies
- 33217 93261 denies
Showing 50 of 111. 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.
- 0417T 0417T denies
- 0418T 0418T denies
- 0522T 93261 denies
- 0525T 0525T denies
- 0526T 0526T denies
- 0527T 0527T denies
- 0528T 0528T denies
- 0530T 93261 denies
- 0531T 93261 denies
- 0532T 93261 denies
- 0696T 93261 denies
- 0903T 0903T denies
- 0904T 0904T denies
- 0905T 0905T denies
- 0925T 93261 denies
- 0926T 0926T denies
- 0930T 93261 denies
- 0931T 93261 denies
- 0933T 93261 denies
- 0934T 0934T denies
- 0937T 0937T denies
- 0938T 0938T denies
- 0939T 0939T denies
- 0940T 0940T denies
- 33202 93261 denies
- 33203 93261 denies
- 33285 93261 denies
- 76018 93261 denies
- 92960 93261 denies
- 92961 93261 denies
- 93000 93000 denies
- 93005 93005 denies
- 93010 93010 denies
- 93040 93040 denies
- 93041 93041 denies
- 93042 93042 denies
- 93224 93224 denies
- 93225 93225 denies
- 93226 93226 denies
- 93227 93227 denies
- 93228 93228 denies
- 93229 93229 denies
- 93241 93241 denies
- 93242 93242 denies
- 93243 93243 denies
- 93244 93244 denies
- 93245 93245 denies
- 93246 93246 denies
- 93247 93247 denies
- 93248 93248 denies
Showing 50 of 66. 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.