NCCI edits for CPT 96167
CMS lists 173 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 19 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.
- 0362T 0362T denies
- 0373T 0373T denies
- 0591T 96167 denies
- 0592T 96167 denies
- 0593T 96167 denies
- 0890T 0890T denies
- 0891T 0891T denies
- 0892T 0892T denies
- 36591 36591 denies
- 36592 36592 denies
- 77427 96167 denies
- 77431 96167 denies
- 77432 96167 denies
- 77435 96167 denies
- 77469 96167 denies
- 77470 96167 denies
- 90785 90785 denies
- 90791 96167 denies
- 90792 96167 denies
- 90832 90832 denies
- 90833 90833 denies
- 90834 96167 denies
- 90836 96167 denies
- 90837 96167 denies
- 90838 96167 denies
- 90839 96167 denies
- 90840 90840 denies
- 90845 96167 denies
- 90846 96167 denies
- 90847 96167 denies
- 90849 90849 denies
- 90853 90853 denies
- 90863 90863 denies
- 90865 96167 denies
- 90867 90867 denies
- 90868 90868 denies
- 90869 90869 denies
- 90870 96167 denies
- 90875 90875 denies
- 90876 96167 denies
- 90880 96167 denies
- 90882 90882 denies
- 90885 90885 denies
- 90887 90887 denies
- 90889 90889 denies
- 92002 96167 denies
- 92004 96167 denies
- 92012 96167 denies
- 92014 96167 denies
- 96160 96167 denies
Showing 50 of 173. 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
- 0889T 0889T denies
- 96156 96167 denies
- 96158 96158 denies
- 96159 96159 denies
- 99466 96167 denies
- 99485 96167 denies
- 99486 96167 denies
- G0380 96167 denies
- G0381 96167 denies
- G0382 96167 denies
- G0383 96167 denies
- G0384 96167 denies
- G0444 G0444 denies
- G0445 G0445 denies
- G0446 G0446 denies
- G0447 G0447 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.