NCCI edits for CPT 0692T
CMS lists 24 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 49 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.
- 0342T 0342T denies
- 36511 0692T denies
- 36512 0692T denies
- 36513 0692T denies
- 36514 0692T denies
- 36516 36516 denies
- 36591 36591 denies
- 36592 36592 denies
- 38206 0692T denies
- 38225 38225 denies
- 64451 64451 denies
- 64454 64454 denies
- 90935 0692T denies
- 90937 0692T denies
- 90945 0692T denies
- 90947 0692T denies
- 96523 96523 denies
- 99446 99446 denies
- 99447 99447 denies
- 99448 99448 denies
- 99449 99449 denies
- 99451 99451 denies
- 99452 99452 denies
- Q2043 0692T denies
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.
- 0596T 0596T denies
- 0597T 0597T denies
- 36522 0692T denies
- 93355 93355 denies
- 99202 99202 denies
- 99203 99203 denies
- 99204 99204 denies
- 99205 99205 denies
- 99281 99281 denies
- 99282 99282 denies
- 99283 99283 denies
- 99284 99284 denies
- 99285 99285 denies
- 99304 99304 denies
- 99305 99305 denies
- 99306 99306 denies
- 99307 99307 denies
- 99308 99308 denies
- 99309 99309 denies
- 99310 99310 denies
- 99341 99341 denies
- 99342 99342 denies
- 99344 99344 denies
- 99345 99345 denies
- 99466 99466 denies
- 99468 99468 denies
- 99469 99469 denies
- 99471 99471 denies
- 99472 99472 denies
- 99475 99475 denies
- 99476 99476 denies
- 99477 99477 denies
- 99478 99478 denies
- 99479 99479 denies
- 99480 99480 denies
- 99483 99483 denies
- 99485 99485 denies
- 99495 99495 denies
- 99496 99496 denies
- 99497 99497 denies
- G0380 G0380 denies
- G0381 G0381 denies
- G0382 G0382 denies
- G0383 G0383 denies
- G0384 G0384 denies
- G0463 G0463 denies
- G0471 G0471 denies
- J1642 J1642 denies
- J1644 J1644 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.