NCCI edits for CPT 97802
CMS lists 216 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 12 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.
- 0395T 97802 denies
- 0591T 97802 denies
- 0592T 97802 denies
- 0593T 97802 denies
- 36591 36591 denies
- 36592 36592 denies
- 77261 97802 denies
- 77262 97802 denies
- 77263 97802 denies
- 77280 97802 denies
- 77285 97802 denies
- 77290 97802 denies
- 77293 97802 denies
- 77295 97802 denies
- 77300 97802 denies
- 77301 97802 denies
- 77306 97802 denies
- 77307 97802 denies
- 77316 97802 denies
- 77317 97802 denies
- 77318 97802 denies
- 77321 97802 denies
- 77331 97802 denies
- 77332 97802 denies
- 77333 97802 denies
- 77334 97802 denies
- 77336 97802 denies
- 77338 97802 denies
- 77370 97802 denies
- 77371 97802 denies
- 77372 97802 denies
- 77373 97802 denies
- 77402 97802 denies
- 77407 97802 denies
- 77412 97802 denies
- 77417 97802 denies
- 77423 97802 denies
- 77424 97802 denies
- 77425 97802 denies
- 77427 97802 denies
- 77431 97802 denies
- 77432 97802 denies
- 77435 97802 denies
- 77469 97802 denies
- 77470 97802 denies
- 77520 97802 denies
- 77522 97802 denies
- 77523 97802 denies
- 77525 97802 denies
- 77600 97802 denies
Showing 50 of 216. 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.
- 0944T 97802 denies
- 93668 97802 denies
- 93797 97802 denies
- 93798 97802 denies
- 94625 97802 denies
- 94626 97802 denies
- 97535 97802 denies
- 97537 97802 denies
- 99466 97802 denies
- 99471 97802 denies
- 99472 97802 denies
- 99475 97802 denies
- 99476 97802 denies
- 99479 97802 denies
- 99485 97802 denies
- 99486 97802 denies
- G0237 97802 denies
- G0238 97802 denies
- G0239 97802 denies
- G0257 97802 denies
- G0380 97802 denies
- G0381 97802 denies
- G0382 97802 denies
- G0383 97802 denies
- G0384 97802 denies
- G0422 97802 denies
- G0423 97802 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.