NCCI edits for CPT 96159
CMS lists 171 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 31 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 4 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 0362T denies
- 0373T 0373T denies
- 0591T 96159 denies
- 0592T 0592T denies
- 0593T 96159 denies
- 36591 36591 denies
- 36592 36592 denies
- 77427 96159 denies
- 77431 96159 denies
- 77432 96159 denies
- 77435 96159 denies
- 77469 96159 denies
- 77470 96159 denies
- 90785 90785 denies
- 90791 96159 denies
- 90792 96159 denies
- 90832 96159 denies
- 90833 96159 denies
- 90834 96159 denies
- 90836 96159 denies
- 90837 96159 denies
- 90838 96159 denies
- 90839 96159 denies
- 90840 96159 denies
- 90845 96159 denies
- 90846 96159 denies
- 90847 96159 denies
- 90849 96159 denies
- 90853 96159 denies
- 90863 90863 denies
- 90865 96159 denies
- 90867 90867 denies
- 90868 90868 denies
- 90869 90869 denies
- 90870 96159 denies
- 90875 96159 denies
- 90876 96159 denies
- 90880 96159 denies
- 90882 90882 denies
- 90885 96159 denies
- 90887 96159 denies
- 90889 90889 denies
- 92002 96159 denies
- 92004 96159 denies
- 92012 96159 denies
- 92014 96159 denies
- 96127 96127 denies
- 96160 96160 denies
- 96161 96161 denies
- 96164 96164 denies
Showing 50 of 171. The plain-text version contains every pair.
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.
- 0403T 0403T denies
- 0488T 0488T denies
- 0733T 96159 denies
- 0734T 96159 denies
- 96105 96105 denies
- 96110 96110 denies
- 96112 96112 denies
- 96116 96116 denies
- 96125 96125 denies
- 96130 96130 denies
- 96132 96132 denies
- 96136 96136 denies
- 96138 96138 denies
- 96146 96146 denies
- 96167 96159 denies
- 96168 96159 denies
- 98978 96159 denies
- 99466 96159 denies
- 99485 96159 denies
- 99486 96159 denies
- G0380 96159 denies
- G0381 96159 denies
- G0382 96159 denies
- G0383 96159 denies
- G0384 96159 denies
- G0444 G0444 denies
- G0445 G0445 denies
- G0446 G0446 denies
- G0447 G0447 denies
- G0451 G0451 denies
- G0473 G0473 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.