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: Q3 2026. Source: CMS National Correct Coding Initiative (NCCI) Edits. Complete plain-text list.
Check a paired code Copy link
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, and it is the Column Two code that is denied while Column One 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.