NCCI edits for CPT 97606
CMS lists 281 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 614 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.
- 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
- 00326 00326 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
Showing 50 of 281. 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.
- 01996 01996 denies
- 0213T 0213T denies
- 0216T 0216T denies
- 0479T 97606 denies
- 0480T 97606 denies
- 0552T 0552T denies
- 0708T 0708T denies
- 0709T 0709T denies
- 0936T 0936T denies
- 10030 97606 denies
- 10060 97606 denies
- 10061 97606 denies
- 11000 11000 denies
- 11010 97606 denies
- 11011 97606 denies
- 11012 97606 denies
- 11055 97606 denies
- 11056 97606 denies
- 11057 97606 denies
- 11719 97606 denies
- 11720 11720 denies
- 11721 11721 denies
- 11730 97606 denies
- 11740 97606 denies
- 11750 97606 denies
- 11755 97606 denies
- 11760 97606 denies
- 11762 97606 denies
- 11765 97606 denies
- 11900 11900 denies
- 11901 11901 denies
- 12001 97606 denies
- 12002 97606 denies
- 12004 97606 denies
- 12005 97606 denies
- 12006 97606 denies
- 12007 97606 denies
- 12011 97606 denies
- 12013 97606 denies
- 12014 97606 denies
- 12015 97606 denies
- 12016 97606 denies
- 12017 97606 denies
- 12018 97606 denies
- 12020 97606 denies
- 12021 97606 denies
- 12031 97606 denies
- 12032 97606 denies
- 12034 97606 denies
- 12035 97606 denies
Showing 50 of 614. 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.