NCCI edits for CPT 98961
CMS lists 16 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 7 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.
- 0593T 0593T denies
- 0734T 98961 denies
- 36591 36591 denies
- 36592 36592 denies
- 96523 96523 denies
- 99484 98961 denies
- 99487 98961 denies
- 99489 98961 denies
- 99490 98961 denies
- 99491 98961 denies
- 99492 98961 denies
- 99493 98961 denies
- 99494 98961 denies
- 99495 98961 denies
- 99496 98961 denies
- G0506 98961 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.
NCCI edits are not a coverage determination or a substitute for the current CMS NCCI Policy Manual. Deleted pairs are excluded from this page.