NCCI edits for CPT 99291
CMS lists 160 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 5,874 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.
- 0395T 99291 denies
- 0469T 0469T denies
- 36591 36591 denies
- 36592 36592 denies
- 77261 99291 denies
- 77262 99291 denies
- 77263 99291 denies
- 77280 99291 denies
- 77285 99291 denies
- 77290 99291 denies
- 77293 99291 denies
- 77295 99291 denies
- 77300 99291 denies
- 77301 99291 denies
- 77306 99291 denies
- 77307 99291 denies
- 77316 99291 denies
- 77317 99291 denies
- 77318 99291 denies
- 77321 99291 denies
- 77331 99291 denies
- 77332 99291 denies
- 77333 99291 denies
- 77334 99291 denies
- 77336 99291 denies
- 77338 99291 denies
- 77370 99291 denies
- 77371 99291 denies
- 77372 99291 denies
- 77373 99291 denies
- 77402 99291 denies
- 77407 99291 denies
- 77412 99291 denies
- 77417 99291 denies
- 77423 99291 denies
- 77424 99291 denies
- 77425 99291 denies
- 77427 99291 denies
- 77431 99291 denies
- 77432 99291 denies
- 77435 99291 denies
- 77469 99291 denies
- 77470 99291 denies
- 77520 99291 denies
- 77522 99291 denies
- 77523 99291 denies
- 77525 99291 denies
- 77600 99291 denies
- 77605 99291 denies
- 77610 99291 denies
Showing 50 of 160. 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.
- 0335T 99291 denies
- 0338T 99291 denies
- 0339T 99291 denies
- 0342T 99291 denies
- 0345T 99291 denies
- 0347T 99291 denies
- 0362T 0362T denies
- 0373T 0373T denies
- 0397T 99291 denies
- 0402T 99291 denies
- 0408T 99291 denies
- 0409T 99291 denies
- 0410T 99291 denies
- 0411T 99291 denies
- 0412T 99291 denies
- 0413T 99291 denies
- 0414T 99291 denies
- 0415T 99291 denies
- 0416T 99291 denies
- 0419T 99291 denies
- 0420T 99291 denies
- 0437T 99291 denies
- 0440T 99291 denies
- 0441T 99291 denies
- 0442T 99291 denies
- 0444T 99291 denies
- 0445T 99291 denies
- 0446T 99291 denies
- 0447T 99291 denies
- 0448T 99291 denies
- 0449T 99291 denies
- 0450T 99291 denies
- 0474T 99291 denies
- 0479T 99291 denies
- 0480T 99291 denies
- 0481T 99291 denies
- 0483T 99291 denies
- 0484T 99291 denies
- 0489T 99291 denies
- 0490T 99291 denies
- 0505T 99291 denies
- 0510T 99291 denies
- 0511T 99291 denies
- 0512T 99291 denies
- 0513T 99291 denies
- 0515T 99291 denies
- 0516T 99291 denies
- 0517T 99291 denies
- 0518T 99291 denies
- 0519T 99291 denies
Showing 50 of 5,874. 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.