NCCI edits for CPT 97598
CMS lists 259 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 3,558 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.
- 00100 00100 denies
- 00102 00102 denies
- 00103 00103 denies
- 00104 00104 denies
- 00120 00120 denies
- 00124 00124 denies
- 00126 00126 denies
- 00140 00140 denies
- 00142 00142 denies
- 00144 00144 denies
- 00145 00145 denies
- 00147 00147 denies
- 00148 00148 denies
- 00160 00160 denies
- 00162 00162 denies
- 00164 00164 denies
- 00170 00170 denies
- 00172 00172 denies
- 00174 00174 denies
- 00176 00176 denies
- 00190 00190 denies
- 00192 00192 denies
- 00210 00210 denies
- 00211 00211 denies
- 00212 00212 denies
- 00214 00214 denies
- 00215 00215 denies
- 00216 00216 denies
- 00218 00218 denies
- 00220 00220 denies
- 00222 00222 denies
- 00300 00300 denies
- 00320 00320 denies
- 00322 00322 denies
- 00350 00350 denies
- 00352 00352 denies
- 00400 00400 denies
- 00402 00402 denies
- 00404 00404 denies
- 00406 00406 denies
- 00410 00410 denies
- 00450 00450 denies
- 00454 00454 denies
- 00470 00470 denies
- 00472 00472 denies
- 00474 00474 denies
- 00500 00500 denies
- 00520 00520 denies
- 00522 00522 denies
- 00524 00524 denies
Showing 50 of 259. 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.
- 0100T 97598 denies
- 0164T 97598 denies
- 0165T 97598 denies
- 0184T 97598 denies
- 01996 01996 denies
- 0200T 97598 denies
- 0201T 97598 denies
- 0202T 97598 denies
- 0213T 0213T denies
- 0216T 0216T denies
- 0234T 97598 denies
- 0235T 97598 denies
- 0236T 97598 denies
- 0237T 97598 denies
- 0238T 97598 denies
- 0253T 97598 denies
- 0308T 97598 denies
- 0402T 97598 denies
- 0408T 97598 denies
- 0409T 97598 denies
- 0410T 97598 denies
- 0411T 97598 denies
- 0412T 97598 denies
- 0413T 97598 denies
- 0414T 97598 denies
- 0416T 97598 denies
- 0444T 97598 denies
- 0445T 97598 denies
- 0446T 97598 denies
- 0447T 97598 denies
- 0448T 97598 denies
- 0449T 97598 denies
- 0474T 97598 denies
- 0479T 97598 denies
- 0480T 97598 denies
- 0484T 97598 denies
- 0489T 97598 denies
- 0505T 97598 denies
- 0510T 97598 denies
- 0511T 97598 denies
- 0515T 97598 denies
- 0516T 97598 denies
- 0517T 97598 denies
- 0518T 97598 denies
- 0519T 97598 denies
- 0520T 97598 denies
- 0525T 97598 denies
- 0526T 97598 denies
- 0527T 97598 denies
- 0530T 97598 denies
Showing 50 of 3,558. 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.