NCCI edits for CPT 97610
CMS lists 7 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 19 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.
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.
- 11000 97610 denies
- 11004 97610 denies
- 11005 97610 denies
- 11006 97610 denies
- 11010 97610 denies
- 11011 97610 denies
- 11012 97610 denies
- 11042 97610 denies
- 11043 97610 denies
- 11044 97610 denies
- 11720 97610 denies
- 11721 97610 denies
- 97035 97035 denies
- 97597 97610 denies
- 97598 97610 denies
- 97605 97610 denies
- 97606 97610 denies
- 97607 97607 denies
- 97608 97608 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.