NCCI edits for CPT 99091
CMS lists 220 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 32 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.
- 0575T 99091 denies
- 0576T 99091 denies
- 0578T 0578T denies
- 0579T 99091 denies
- 0591T 99091 denies
- 0592T 99091 denies
- 0593T 99091 denies
- 0650T 99091 denies
- 0696T 99091 denies
- 0733T 99091 denies
- 0741T 99091 denies
- 0937T 0937T denies
- 0938T 0938T denies
- 0939T 0939T denies
- 0940T 0940T denies
- 36591 36591 denies
- 36592 36592 denies
- 93227 99091 denies
- 93241 93241 denies
- 93242 93242 denies
- 93243 93243 denies
- 93244 93244 denies
- 93245 93245 denies
- 93246 93246 denies
- 93247 93247 denies
- 93248 93248 denies
- 93260 99091 denies
- 93261 99091 denies
- 93264 99091 denies
- 93272 99091 denies
- 93279 99091 denies
- 93280 99091 denies
- 93281 99091 denies
- 93282 99091 denies
- 93283 99091 denies
- 93284 99091 denies
- 93285 99091 denies
- 93286 99091 denies
- 93287 99091 denies
- 93288 99091 denies
- 93289 99091 denies
- 93290 99091 denies
- 93291 99091 denies
- 93292 99091 denies
- 93293 93293 denies
- 93294 93294 denies
- 93295 93295 denies
- 93296 99091 denies
- 93297 93297 denies
- 93298 93298 denies
Showing 50 of 220. 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.
- 0604T 99091 denies
- 0605T 99091 denies
- 0606T 99091 denies
- 0734T 99091 denies
- 0928T 0928T denies
- 0929T 99091 denies
- 0934T 99091 denies
- 93224 99091 denies
- 93228 99091 denies
- 93268 99091 denies
- 95249 99091 denies
- 98000 98000 denies
- 98001 98001 denies
- 98002 98002 denies
- 98003 98003 denies
- 98004 98004 denies
- 98005 98005 denies
- 98006 98006 denies
- 98007 98007 denies
- 99421 99421 denies
- 99422 99422 denies
- 99423 99423 denies
- 99424 99424 denies
- 99425 99425 denies
- 99426 99426 denies
- 99427 99427 denies
- 99437 99091 denies
- 99439 99091 denies
- 99457 99091 denies
- 99487 99091 denies
- 99489 99091 denies
- 99490 99091 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.