NCCI edits for CPT 97158
CMS lists 64 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 176 pairs with modifier indicator 1, where an NCCI-associated modifier may be allowed when the documentation supports it.
NCCI release: Q3 2026. Source: CMS National Correct Coding Initiative (NCCI) Edits. Complete plain-text list.
Check a paired code Copy link
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, and it is the Column Two code that is denied while Column One is paid.
- 0820T 0820T denies
- 36591 36591 denies
- 36592 36592 denies
- 90785 90785 denies
- 90791 90791 denies
- 90792 90792 denies
- 90832 90832 denies
- 90833 90833 denies
- 90834 90834 denies
- 90836 90836 denies
- 90837 90837 denies
- 90838 90838 denies
- 90839 90839 denies
- 90840 90840 denies
- 90845 90845 denies
- 90846 90846 denies
- 90847 90847 denies
- 90849 90849 denies
- 90853 90853 denies
- 90863 90863 denies
- 90865 90865 denies
- 90867 90867 denies
- 90868 90868 denies
- 90869 90869 denies
- 90870 90870 denies
- 90875 90875 denies
- 90876 90876 denies
- 90880 90880 denies
- 90882 90882 denies
- 90885 90885 denies
- 90887 90887 denies
- 90889 90889 denies
- 92507 92507 denies
- 92508 97158 denies
- 96105 97158 denies
- 96110 97158 denies
- 96112 97158 denies
- 96113 97158 denies
- 96116 97158 denies
- 96121 97158 denies
- 96125 97158 denies
- 96127 97158 denies
- 96130 97158 denies
- 96131 97158 denies
- 96132 97158 denies
- 96133 97158 denies
- 96136 97158 denies
- 96137 97158 denies
- 96138 97158 denies
- 96139 97158 denies
Showing 50 of 64. 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
- 0591T 97158 denies
- 0592T 97158 denies
- 0593T 97158 denies
- 0734T 97158 denies
- 0776T 97158 denies
- 0889T 0889T denies
- 0890T 0890T denies
- 0891T 0891T denies
- 0892T 0892T denies
- 33871 97158 denies
- 96160 97158 denies
- 96161 97158 denies
- 98000 97158 denies
- 98001 97158 denies
- 98002 97158 denies
- 98003 97158 denies
- 98004 97158 denies
- 98005 97158 denies
- 98006 97158 denies
- 98007 97158 denies
- 98008 97158 denies
- 98009 97158 denies
- 98010 97158 denies
- 98011 97158 denies
- 98012 97158 denies
- 98013 97158 denies
- 98014 97158 denies
- 98015 97158 denies
- 98016 97158 denies
- 99184 97158 denies
- 99202 97158 denies
- 99203 97158 denies
- 99204 97158 denies
- 99205 97158 denies
- 99211 97158 denies
- 99212 97158 denies
- 99213 97158 denies
- 99214 97158 denies
- 99215 97158 denies
- 99221 97158 denies
- 99222 97158 denies
- 99223 97158 denies
- 99231 97158 denies
- 99232 97158 denies
- 99233 97158 denies
- 99234 97158 denies
- 99235 97158 denies
- 99236 97158 denies
Showing 50 of 176. 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.