NCCI edits for CPT 96570
CMS lists 6 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 69 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.
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.
- 0653T 0653T denies
- 0781T 0781T denies
- 0782T 0782T denies
- 31623 31623 denies
- 31624 31624 denies
- 31625 31625 denies
- 31626 31626 denies
- 31628 31628 denies
- 31629 31629 denies
- 31630 31630 denies
- 31631 31631 denies
- 31635 31635 denies
- 31640 31640 denies
- 31643 31643 denies
- 31645 31645 denies
- 31646 31646 denies
- 31648 31648 denies
- 36000 36000 denies
- 36410 36410 denies
- 43180 43180 denies
- 43192 43192 denies
- 43193 43193 denies
- 43194 43194 denies
- 43195 43195 denies
- 43196 43196 denies
- 43198 43198 denies
- 43201 43201 denies
- 43202 43202 denies
- 43204 43204 denies
- 43205 43205 denies
- 43206 43206 denies
- 43211 43211 denies
- 43212 43212 denies
- 43213 43213 denies
- 43214 43214 denies
- 43215 43215 denies
- 43216 43216 denies
- 43217 43217 denies
- 43220 43220 denies
- 43226 43226 denies
- 43227 43227 denies
- 43231 43231 denies
- 43232 43232 denies
- 43233 43233 denies
- 43236 43236 denies
- 43238 43238 denies
- 43239 43239 denies
- 43240 43240 denies
- 43241 43241 denies
- 43242 43242 denies
Showing 50 of 69. The plain-text version contains every pair.
NCCI edits are not a coverage determination or a substitute for the current CMS NCCI Policy Manual. Deleted pairs are excluded from this page.