NCCI edits for CPT 93609
CMS lists 22 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 23 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.
- 00410 00410 denies
- 00537 00537 denies
- 33210 33210 denies
- 33211 33211 denies
- 36591 36591 denies
- 36592 36592 denies
- 93050 93050 denies
- 93600 93600 denies
- 93602 93602 denies
- 93603 93603 denies
- 93613 93609 denies
- 93654 93609 denies
- 96523 96523 denies
- 99155 99155 denies
- 99156 99156 denies
- 99157 99157 denies
- 99446 99446 denies
- 99447 99447 denies
- 99448 99448 denies
- 99449 99449 denies
- 99451 99451 denies
- 99452 99452 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.
- 0632T 0632T denies
- 36000 36000 denies
- 36005 36005 denies
- 36010 36010 denies
- 36011 36011 denies
- 36012 36012 denies
- 36013 36013 denies
- 36140 36140 denies
- 36410 36410 denies
- 92960 92960 denies
- 92961 92961 denies
- 93000 93000 denies
- 93005 93005 denies
- 93010 93010 denies
- 93040 93040 denies
- 93041 93041 denies
- 93042 93042 denies
- 93610 93609 denies
- 93612 93609 denies
- 93615 93609 denies
- 93616 93609 denies
- 93618 93609 denies
- 93624 93624 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.