NCCI edits for HCPCS P9612
CMS lists 164 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 41 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.
- 0582T P9612 denies
- 0596T P9612 denies
- 0597T P9612 denies
- 0655T P9612 denies
- 0664T P9612 denies
- 0665T P9612 denies
- 0667T P9612 denies
- 0714T P9612 denies
- 0867T P9612 denies
- 0935T P9612 denies
- 0941T P9612 denies
- 0942T P9612 denies
- 0943T P9612 denies
- 45126 P9612 denies
- 51597 P9612 denies
- 51600 P9612 denies
- 51605 P9612 denies
- 51610 P9612 denies
- 51700 P9612 denies
- 51701 P9612 denies
- 51702 P9612 denies
- 51703 P9612 denies
- 51715 P9612 denies
- 51720 P9612 denies
- 51721 P9612 denies
- 51725 P9612 denies
- 51726 P9612 denies
- 51727 P9612 denies
- 51728 P9612 denies
- 51729 P9612 denies
- 51736 P9612 denies
- 51741 P9612 denies
- 51785 P9612 denies
- 51792 P9612 denies
- 52000 P9612 denies
- 52001 P9612 denies
- 52005 P9612 denies
- 52007 P9612 denies
- 52010 P9612 denies
- 52204 P9612 denies
- 52214 P9612 denies
- 52224 P9612 denies
- 52234 P9612 denies
- 52235 P9612 denies
- 52240 P9612 denies
- 52250 P9612 denies
- 52260 P9612 denies
- 52265 P9612 denies
- 52270 P9612 denies
- 52275 P9612 denies
Showing 50 of 164. 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.
- 0666T P9612 denies
- 50947 P9612 denies
- 50948 P9612 denies
- 52341 P9612 denies
- 52342 P9612 denies
- 52343 P9612 denies
- 52344 P9612 denies
- 52345 P9612 denies
- 52346 P9612 denies
- 52351 P9612 denies
- 52352 P9612 denies
- 52353 P9612 denies
- 52354 P9612 denies
- 52355 P9612 denies
- 52356 P9612 denies
- 52400 P9612 denies
- 53860 P9612 denies
- 57022 P9612 denies
- 57023 P9612 denies
- 57155 P9612 denies
- 57156 P9612 denies
- 57285 P9612 denies
- 57287 P9612 denies
- 58541 P9612 denies
- 58542 P9612 denies
- 58543 P9612 denies
- 58544 P9612 denies
- 58548 P9612 denies
- 58550 P9612 denies
- 58552 P9612 denies
- 58553 P9612 denies
- 58554 P9612 denies
- 58570 P9612 denies
- 58571 P9612 denies
- 58572 P9612 denies
- 58573 P9612 denies
- 58575 P9612 denies
- 58953 P9612 denies
- 58954 P9612 denies
- C9761 P9612 denies
- G0162 P9612 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.