NCCI edits for CPT 96574
CMS lists 3 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 76 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.
- 0708T 0708T denies
- 0709T 0709T denies
- 0906T 0906T denies
- 11000 11000 denies
- 11001 11001 denies
- 11004 11004 denies
- 11005 11005 denies
- 11006 11006 denies
- 11042 11042 denies
- 11043 11043 denies
- 11044 11044 denies
- 11045 11045 denies
- 11046 11046 denies
- 11047 11047 denies
- 11055 11055 denies
- 11056 11056 denies
- 11057 11057 denies
- 11102 11102 denies
- 11104 11104 denies
- 11106 11106 denies
- 11300 11300 denies
- 11301 11301 denies
- 11302 11302 denies
- 11303 11303 denies
- 11305 11305 denies
- 11306 11306 denies
- 11307 11307 denies
- 11308 11308 denies
- 11310 11310 denies
- 11311 11311 denies
- 11312 11312 denies
- 11313 11313 denies
- 11400 11400 denies
- 11401 11401 denies
- 11402 11402 denies
- 11403 11403 denies
- 11404 11404 denies
- 11406 11406 denies
- 11420 11420 denies
- 11421 11421 denies
- 11422 11422 denies
- 11423 11423 denies
- 11424 11424 denies
- 11426 11426 denies
- 11440 11440 denies
- 11441 11441 denies
- 11442 11442 denies
- 11443 11443 denies
- 11444 11444 denies
- 11446 11446 denies
Showing 50 of 76. 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.