NCCI edits for CPT 95970
CMS lists 20 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 47 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.
- 0587T 0587T denies
- 0588T 0588T denies
- 0589T 0589T denies
- 0590T 0590T denies
- 0788T 95970 denies
- 0789T 95970 denies
- 0816T 95970 denies
- 0817T 95970 denies
- 0818T 95970 denies
- 0819T 95970 denies
- 0912T 0912T denies
- 36591 36591 denies
- 36592 36592 denies
- 95971 95970 denies
- 95972 95970 denies
- 95976 95970 denies
- 95977 95970 denies
- 95983 95970 denies
- 95984 95970 denies
- 96523 96523 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.
- 0446T 95970 denies
- 0447T 95970 denies
- 0448T 95970 denies
- 0908T 95970 denies
- 0909T 95970 denies
- 0910T 95970 denies
- 33276 95970 denies
- 33280 95970 denies
- 33287 95970 denies
- 43647 95970 denies
- 43648 95970 denies
- 43881 95970 denies
- 43882 95970 denies
- 61850 95970 denies
- 61860 95970 denies
- 61863 95970 denies
- 61864 95970 denies
- 61867 95970 denies
- 61868 95970 denies
- 61880 95970 denies
- 61885 95970 denies
- 61886 95970 denies
- 61888 95970 denies
- 63650 95970 denies
- 63655 95970 denies
- 63661 95970 denies
- 63662 95970 denies
- 63663 95970 denies
- 63664 95970 denies
- 63685 95970 denies
- 63688 95970 denies
- 64553 95970 denies
- 64555 95970 denies
- 64561 95970 denies
- 64566 95970 denies
- 64568 95970 denies
- 64569 95970 denies
- 64570 95970 denies
- 64575 95970 denies
- 64580 95970 denies
- 64581 95970 denies
- 64582 95970 denies
- 64583 95970 denies
- 64584 95970 denies
- 64585 95970 denies
- 64590 95970 denies
- 64595 95970 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.