NCCI edits for CPT 96133
CMS lists 18 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 6 pairs with modifier indicator 1, where an NCCI-associated modifier may be allowed when the documentation supports it.
NCCI release: Q3 2026. Source: CMS National Correct Coding Initiative (NCCI) Edits. Complete plain-text list.
Check a paired code Copy link
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, and it is the Column Two code that is denied while Column One is paid.
- 0362T 0362T denies
- 0373T 0373T denies
- 36591 36591 denies
- 36592 36592 denies
- 90785 90785 denies
- 96020 96133 denies
- 96112 96133 denies
- 96113 96113 denies
- 96127 96127 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.
NCCI edits are not a coverage determination or a substitute for the current CMS NCCI Policy Manual. Deleted pairs are excluded from this page.