NCCI edits for CPT 97151
CMS lists 70 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 173 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 8 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.
- 0403T 0403T denies
- 0488T 0488T denies
- 0820T 0820T denies
- 36591 36591 denies
- 36592 36592 denies
- 90785 97151 denies
- 90791 97151 denies
- 90792 97151 denies
- 90832 97151 denies
- 90833 97151 denies
- 90834 97151 denies
- 90836 97151 denies
- 90837 97151 denies
- 90838 97151 denies
- 90839 97151 denies
- 90840 97151 denies
- 90845 97151 denies
- 90846 97151 denies
- 90847 97151 denies
- 90849 97151 denies
- 90853 97151 denies
- 90863 97151 denies
- 90865 97151 denies
- 90867 90867 denies
- 90868 90868 denies
- 90869 90869 denies
- 90870 97151 denies
- 90875 97151 denies
- 90876 97151 denies
- 90880 97151 denies
- 90882 90882 denies
- 90885 97151 denies
- 90887 97151 denies
- 90889 90889 denies
- 92521 97151 denies
- 92522 97151 denies
- 92523 97151 denies
- 92524 97151 denies
- 96105 97151 denies
- 96110 97151 denies
- 96112 97151 denies
- 96113 97151 denies
- 96116 97151 denies
- 96121 97151 denies
- 96125 97151 denies
- 96127 97151 denies
- 96130 97151 denies
- 96131 97151 denies
- 96132 97151 denies
- 96133 97151 denies
Showing 50 of 70. 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.
- 0591T 97151 denies
- 0592T 97151 denies
- 0593T 97151 denies
- 0734T 97151 denies
- 0776T 97151 denies
- 0889T 97151 denies
- 0890T 0890T denies
- 0891T 0891T denies
- 0892T 0892T denies
- 33871 97151 denies
- 96160 96160 denies
- 96161 96161 denies
- 98000 97151 denies
- 98001 97151 denies
- 98002 97151 denies
- 98003 97151 denies
- 98004 97151 denies
- 98005 97151 denies
- 98006 97151 denies
- 98007 97151 denies
- 98008 97151 denies
- 98009 97151 denies
- 98010 97151 denies
- 98011 97151 denies
- 98012 97151 denies
- 98013 97151 denies
- 98014 97151 denies
- 98015 97151 denies
- 98016 97151 denies
- 99184 97151 denies
- 99202 97151 denies
- 99203 97151 denies
- 99204 97151 denies
- 99205 97151 denies
- 99211 97151 denies
- 99212 97151 denies
- 99213 97151 denies
- 99214 97151 denies
- 99215 97151 denies
- 99221 97151 denies
- 99222 97151 denies
- 99223 97151 denies
- 99231 97151 denies
- 99232 97151 denies
- 99233 97151 denies
- 99234 97151 denies
- 99235 97151 denies
- 99236 97151 denies
- 99238 97151 denies
- 99239 97151 denies
Showing 50 of 173. 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.