NCCI edits for CPT 99173
CMS lists 12 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 154 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 0 units 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.
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.
- 0591T 99173 denies
- 0592T 99173 denies
- 0593T 99173 denies
- 0734T 99173 denies
- 96160 99173 denies
- 96161 99173 denies
- 98000 99173 denies
- 98001 99173 denies
- 98002 99173 denies
- 98003 99173 denies
- 98004 99173 denies
- 98005 99173 denies
- 98006 99173 denies
- 98007 99173 denies
- 98008 99173 denies
- 98009 99173 denies
- 98010 99173 denies
- 98011 99173 denies
- 98012 99173 denies
- 98013 99173 denies
- 98014 99173 denies
- 98015 99173 denies
- 98016 99173 denies
- 99202 99173 denies
- 99203 99173 denies
- 99204 99173 denies
- 99205 99173 denies
- 99211 99173 denies
- 99212 99173 denies
- 99213 99173 denies
- 99214 99173 denies
- 99215 99173 denies
- 99221 99173 denies
- 99222 99173 denies
- 99223 99173 denies
- 99231 99173 denies
- 99232 99173 denies
- 99233 99173 denies
- 99234 99173 denies
- 99235 99173 denies
- 99236 99173 denies
- 99238 99173 denies
- 99239 99173 denies
- 99242 99173 denies
- 99243 99173 denies
- 99244 99173 denies
- 99245 99173 denies
- 99252 99173 denies
- 99253 99173 denies
- 99254 99173 denies
Showing 50 of 154. 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.