NCCI edits for CPT 97750
CMS lists 28 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 27 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 8 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.
- 0734T 97750 denies
- 36591 36591 denies
- 36592 36592 denies
- 95851 95851 denies
- 95852 95852 denies
- 96523 96523 denies
- 97150 97150 denies
- 97161 97750 denies
- 97162 97750 denies
- 97163 97750 denies
- 97164 97750 denies
- 97165 97750 denies
- 97166 97750 denies
- 97167 97750 denies
- 97168 97750 denies
- 97169 97169 denies
- 97170 97170 denies
- 97171 97171 denies
- 97172 97172 denies
- 97755 97750 denies
- 98980 97750 denies
- 98981 97750 denies
- 99091 97750 denies
- 99455 97750 denies
- 99456 97750 denies
- 99457 97750 denies
- 99458 97750 denies
- 99474 97750 denies
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.
- 0693T 97750 denies
- 90912 97750 denies
- 90913 97750 denies
- 93668 97750 denies
- 93797 97750 denies
- 93798 97750 denies
- 94625 97750 denies
- 94626 97750 denies
- 96000 97750 denies
- 96001 97750 denies
- 96002 97750 denies
- 96004 97750 denies
- 97140 97750 denies
- 97530 97750 denies
- G0129 97750 denies
- G0151 97750 denies
- G0152 97750 denies
- G0157 97750 denies
- G0158 97750 denies
- G0159 97750 denies
- G0160 97750 denies
- G0237 97750 denies
- G0238 97750 denies
- G0239 97750 denies
- G0250 97750 denies
- G0422 97750 denies
- G0423 97750 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.