NCCI edits for CPT 96110
CMS lists 16 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 17 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 3 units 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.
- 0362T 96110 denies
- 0373T 96110 denies
- 36591 36591 denies
- 36592 36592 denies
- 96112 96110 denies
- 96113 96110 denies
- 96146 96146 denies
- 96523 96523 denies
- 97151 97151 denies
- 97152 97152 denies
- 97153 97153 denies
- 97154 97154 denies
- 97155 97155 denies
- 97156 97156 denies
- 97157 97157 denies
- 97158 97158 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.
- 96105 96110 denies
- 96116 96110 denies
- 96121 96110 denies
- 96125 96125 denies
- 96130 96110 denies
- 96131 96110 denies
- 96132 96110 denies
- 96133 96110 denies
- 96136 96110 denies
- 96137 96110 denies
- 96138 96110 denies
- 96139 96110 denies
- 96156 96110 denies
- 96158 96110 denies
- 96159 96110 denies
- 96160 96110 denies
- 96161 96110 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.