NCCI edits for CPT 98971
CMS lists 28 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 30 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.
- 0734T 98971 denies
- 36591 36591 denies
- 36592 36592 denies
- 93792 98971 denies
- 93793 98971 denies
- 96523 96523 denies
- 99091 98971 denies
- 99358 98971 denies
- 99359 98971 denies
- 99374 98971 denies
- 99375 98971 denies
- 99377 98971 denies
- 99378 98971 denies
- 99379 98971 denies
- 99380 98971 denies
- 99418 98971 denies
- 99446 98971 denies
- 99447 98971 denies
- 99448 98971 denies
- 99449 98971 denies
- 99484 98971 denies
- 99487 98971 denies
- 99490 98971 denies
- 99491 98971 denies
- 99492 98971 denies
- 99493 98971 denies
- 99494 98971 denies
- G0506 98971 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.
- 98000 98971 denies
- 98001 98971 denies
- 98002 98971 denies
- 98003 98971 denies
- 98004 98971 denies
- 98005 98971 denies
- 98006 98971 denies
- 98007 98971 denies
- 98008 98971 denies
- 98009 98971 denies
- 98010 98971 denies
- 98011 98971 denies
- 98012 98971 denies
- 98013 98971 denies
- 98014 98971 denies
- 98015 98971 denies
- 98016 98971 denies
- 99421 98971 denies
- 99422 98971 denies
- 99423 98971 denies
- 99424 99424 denies
- 99425 99425 denies
- 99426 99426 denies
- 99427 99427 denies
- 99437 99437 denies
- 99439 98971 denies
- 99489 99489 denies
- 99495 98971 denies
- 99496 98971 denies
- G0250 G0250 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.