NCCI edits for 96001
Code page: https://localishealth.com/cpt/96001
NCCI release: 2026 D
Source: https://www.cms.gov/medicare/coding-billing/national-correct-coding-initiative-ncci-edits

NOT SEPARATELY PAYABLE TOGETHER—NO NCCI-ASSOCIATED MODIFIER BYPASSES THE EDIT (modifier indicator 0)
0693T    96001 is Column One, 0693T is Column Two—0693T denies
36591    96001 is Column One, 36591 is Column Two—36591 denies
36592    96001 is Column One, 36592 is Column Two—36592 denies
96000    96001 is Column One, 96000 is Column Two—96000 denies
96523    96001 is Column One, 96523 is Column Two—96523 denies

BILLABLE TOGETHER ONLY WHEN AN NCCI-ASSOCIATED MODIFIER IS APPROPRIATE (modifier indicator 1)
97116    96001 is Column One, 97116 is Column Two—97116 denies
97750    96001 is Column One, 97750 is Column Two—97750 denies

MUE units per patient per date of service: 1