NCCI edits for CPT 98009
CMS lists 29 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 135 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.
- 0469T 0469T denies
- 0734T 98009 denies
- 36591 36591 denies
- 36592 36592 denies
- 90791 98009 denies
- 90792 98009 denies
- 90832 98009 denies
- 90834 98009 denies
- 90837 98009 denies
- 93793 93793 denies
- 94002 94002 denies
- 94003 94003 denies
- 94004 94004 denies
- 94660 94660 denies
- 96127 96127 denies
- 96523 96523 denies
- 99091 99091 denies
- 99172 99172 denies
- 99421 98009 denies
- 99422 98009 denies
- 99423 98009 denies
- 99446 98009 denies
- 99447 98009 denies
- 99448 98009 denies
- 99449 98009 denies
- 99474 99474 denies
- 99484 98009 denies
- 99492 98009 denies
- 99493 98009 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.
- 0362T 0362T denies
- 0373T 0373T denies
- 0395T 98009 denies
- 77261 98009 denies
- 77262 98009 denies
- 77263 98009 denies
- 77280 98009 denies
- 77285 98009 denies
- 77290 98009 denies
- 77295 98009 denies
- 77300 98009 denies
- 77301 98009 denies
- 77306 98009 denies
- 77307 98009 denies
- 77316 98009 denies
- 77317 98009 denies
- 77318 98009 denies
- 77321 98009 denies
- 77331 98009 denies
- 77332 98009 denies
- 77333 98009 denies
- 77334 98009 denies
- 77336 98009 denies
- 77338 98009 denies
- 77370 98009 denies
- 77371 98009 denies
- 77372 98009 denies
- 77373 98009 denies
- 77417 98009 denies
- 77423 98009 denies
- 77424 98009 denies
- 77425 98009 denies
- 77427 98009 denies
- 77431 98009 denies
- 77432 98009 denies
- 77435 98009 denies
- 77469 98009 denies
- 77470 98009 denies
- 77520 98009 denies
- 77522 98009 denies
- 77523 98009 denies
- 77525 98009 denies
- 77600 98009 denies
- 77605 98009 denies
- 77610 98009 denies
- 77615 98009 denies
- 77620 98009 denies
- 77750 98009 denies
- 77761 98009 denies
- 77762 98009 denies
Showing 50 of 135. 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.