NCCI edits for CPT 99151
CMS lists 363 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 106 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.
- 00100 99151 denies
- 00102 99151 denies
- 00103 99151 denies
- 00104 99151 denies
- 00120 99151 denies
- 00124 99151 denies
- 00126 99151 denies
- 00140 99151 denies
- 00142 99151 denies
- 00144 99151 denies
- 00145 99151 denies
- 00147 99151 denies
- 00148 99151 denies
- 00160 99151 denies
- 00162 99151 denies
- 00164 99151 denies
- 00170 99151 denies
- 00172 99151 denies
- 00174 99151 denies
- 00176 99151 denies
- 00190 99151 denies
- 00192 99151 denies
- 00210 99151 denies
- 00211 99151 denies
- 00212 99151 denies
- 00214 99151 denies
- 00215 99151 denies
- 00216 99151 denies
- 00218 99151 denies
- 00220 99151 denies
- 00222 99151 denies
- 00300 99151 denies
- 00320 99151 denies
- 00322 99151 denies
- 00326 99151 denies
- 00350 99151 denies
- 00352 99151 denies
- 00400 99151 denies
- 00402 99151 denies
- 00404 99151 denies
- 00406 99151 denies
- 00410 99151 denies
- 00450 99151 denies
- 00454 99151 denies
- 00470 99151 denies
- 00472 99151 denies
- 00474 99151 denies
- 00500 99151 denies
- 00520 99151 denies
- 00522 99151 denies
Showing 50 of 363. 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.
- 0708T 0708T denies
- 0709T 0709T denies
- 0903T 0903T denies
- 0904T 0904T denies
- 0905T 0905T denies
- 36000 36000 denies
- 36400 36400 denies
- 36405 36405 denies
- 36406 36406 denies
- 36410 36410 denies
- 36420 36420 denies
- 36425 36425 denies
- 69706 99151 denies
- 93000 93000 denies
- 93005 93005 denies
- 93010 93010 denies
- 93040 93040 denies
- 93041 93041 denies
- 93042 93042 denies
- 94762 94762 denies
- 96360 96360 denies
- 96365 96365 denies
- 96372 96372 denies
- 96373 96373 denies
- 96374 96374 denies
- 96375 96375 denies
- 96376 96376 denies
- 96377 96377 denies
- 99157 99157 denies
- 99202 99202 denies
- 99203 99203 denies
- 99204 99204 denies
- 99205 99205 denies
- 99211 99211 denies
- 99212 99212 denies
- 99213 99213 denies
- 99214 99214 denies
- 99215 99215 denies
- 99221 99221 denies
- 99222 99222 denies
- 99223 99223 denies
- 99231 99231 denies
- 99232 99232 denies
- 99233 99233 denies
- 99234 99234 denies
- 99235 99235 denies
- 99236 99236 denies
- 99238 99238 denies
- 99239 99239 denies
- 99281 99281 denies
Showing 50 of 106. 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.