NCCI edits for CPT 93597
CMS lists 102 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 277 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.
- 01920 01920 denies
- 01924 01924 denies
- 01925 01925 denies
- 01926 01926 denies
- 0213T 0213T denies
- 0216T 0216T denies
- 0483T 93597 denies
- 0484T 93597 denies
- 0798T 0798T denies
- 0799T 0799T denies
- 0800T 0800T denies
- 0863T 93597 denies
- 33210 33210 denies
- 33211 33211 denies
- 33289 93597 denies
- 33418 93597 denies
- 33419 93597 denies
- 33746 93597 denies
- 33895 93597 denies
- 33897 93597 denies
- 36013 36013 denies
- 36014 36014 denies
- 36015 36015 denies
- 36200 36200 denies
- 36591 36591 denies
- 36592 36592 denies
- 62320 62320 denies
- 62321 62321 denies
- 62322 62322 denies
- 62323 62323 denies
- 62324 62324 denies
- 62325 62325 denies
- 62326 62326 denies
- 62327 62327 denies
- 64400 64400 denies
- 64405 64405 denies
- 64408 64408 denies
- 64415 64415 denies
- 64416 64416 denies
- 64417 64417 denies
- 64418 64418 denies
- 64420 64420 denies
- 64421 64421 denies
- 64425 64425 denies
- 64430 64430 denies
- 64435 64435 denies
- 64445 64445 denies
- 64446 64446 denies
- 64447 64447 denies
- 64448 64448 denies
Showing 50 of 102. 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.
- 0345T 93597 denies
- 0515T 93597 denies
- 0516T 93597 denies
- 0517T 93597 denies
- 0518T 93597 denies
- 0519T 93597 denies
- 0520T 93597 denies
- 0544T 93597 denies
- 0545T 93597 denies
- 0569T 93597 denies
- 0570T 93597 denies
- 0577T 93597 denies
- 0596T 0596T denies
- 0597T 0597T denies
- 0613T 93597 denies
- 0632T 93597 denies
- 0643T 93597 denies
- 0644T 93597 denies
- 0645T 93597 denies
- 0646T 93597 denies
- 0795T 93597 denies
- 0796T 93597 denies
- 0797T 93597 denies
- 0903T 0903T denies
- 0904T 0904T denies
- 0905T 0905T denies
- 0930T 0930T denies
- 0931T 0931T 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
Showing 50 of 277. 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.