NCCI edits for CPT 97172
CMS lists 79 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 26 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 0 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.
- 36591 36591 denies
- 36592 36592 denies
- 95851 95851 denies
- 95852 95852 denies
- 96523 96523 denies
- 97169 97172 denies
- 97170 97172 denies
- 97171 97172 denies
- 97750 97172 denies
- 98940 97172 denies
- 98941 97172 denies
- 98942 97172 denies
- 99202 97172 denies
- 99203 97172 denies
- 99204 97172 denies
- 99205 97172 denies
- 99211 97172 denies
- 99212 97172 denies
- 99213 97172 denies
- 99214 97172 denies
- 99215 97172 denies
- 99221 97172 denies
- 99222 97172 denies
- 99223 97172 denies
- 99231 97172 denies
- 99232 97172 denies
- 99233 97172 denies
- 99234 97172 denies
- 99235 97172 denies
- 99236 97172 denies
- 99238 97172 denies
- 99239 97172 denies
- 99281 97172 denies
- 99282 97172 denies
- 99283 97172 denies
- 99284 97172 denies
- 99285 97172 denies
- 99291 97172 denies
- 99292 97172 denies
- 99304 97172 denies
- 99305 97172 denies
- 99306 97172 denies
- 99307 97172 denies
- 99308 97172 denies
- 99309 97172 denies
- 99310 97172 denies
- 99315 97172 denies
- 99316 97172 denies
- 99341 97172 denies
- 99342 97172 denies
Showing 50 of 79. 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 97172 denies
- 0592T 97172 denies
- 0593T 97172 denies
- 96020 97172 denies
- 97140 97140 denies
- 99466 97172 denies
- 99467 97172 denies
- 99471 97172 denies
- 99472 97172 denies
- 99475 97172 denies
- 99476 97172 denies
- 99479 97172 denies
- 99485 97172 denies
- 99486 97172 denies
- G0380 97172 denies
- G0381 97172 denies
- G0382 97172 denies
- G0383 97172 denies
- G0384 97172 denies
- G0402 97172 denies
- G0438 97172 denies
- G0439 97172 denies
- G0442 97172 denies
- G0443 97172 denies
- G0444 97172 denies
- G0445 97172 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.