NCCI edits for CPT 0923T
CMS lists 85 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 79 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.
- 00530 00530 denies
- 00534 00534 denies
- 0213T 0213T denies
- 0216T 0216T denies
- 0408T 0923T denies
- 0409T 0409T denies
- 0410T 0923T denies
- 0411T 0923T denies
- 0412T 0412T denies
- 0417T 0417T denies
- 0418T 0418T denies
- 0575T 0575T denies
- 0576T 0576T denies
- 0915T 0923T denies
- 0916T 0923T denies
- 0919T 0919T denies
- 0925T 0925T denies
- 0926T 0926T denies
- 0927T 0927T denies
- 0931T 0923T denies
- 33214 0923T denies
- 33215 0923T denies
- 33218 0923T denies
- 33220 0923T denies
- 33222 0923T denies
- 33223 0923T denies
- 33225 0923T denies
- 33226 0923T denies
- 33227 0923T denies
- 33228 0923T denies
- 33229 0923T denies
- 33230 0923T denies
- 33231 0923T denies
- 33233 0923T denies
- 33234 0923T denies
- 33235 0923T denies
- 33236 0923T denies
- 33237 0923T denies
- 33238 0923T denies
- 33241 0923T denies
- 33243 0923T denies
- 33244 0923T denies
- 33250 0923T denies
- 33251 0923T denies
- 33254 0923T denies
- 33255 0923T denies
- 33256 0923T denies
- 33257 0923T denies
- 33258 0923T denies
- 33259 0923T denies
Showing 50 of 85. 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.
- 0415T 0415T denies
- 0416T 0416T denies
- 33206 0923T denies
- 33207 0923T denies
- 33208 0923T denies
- 33210 0923T denies
- 33211 0923T denies
- 33212 0923T denies
- 33213 0923T denies
- 33216 0923T denies
- 33217 0923T denies
- 33221 0923T denies
- 33224 0923T denies
- 33240 0923T denies
- 33249 0923T denies
- 33270 0923T denies
- 33274 0923T denies
- 33275 0923T denies
- 94002 94002 denies
- 94200 94200 denies
- 94680 94680 denies
- 94681 94681 denies
- 94690 94690 denies
- 95812 95812 denies
- 95813 95813 denies
- 95816 95816 denies
- 95819 95819 denies
- 95822 95822 denies
- 95829 95829 denies
- 95955 95955 denies
- 96360 96360 denies
- 96365 96365 denies
- 96372 96372 denies
- 96374 96374 denies
- 96377 96377 denies
- 97597 97597 denies
- 97602 97602 denies
- 99211 99211 denies
- 99212 99212 denies
- 99213 99213 denies
- 99214 99214 denies
- 99215 99215 denies
- 99221 99221 denies
- 99222 99222 denies
- 99223 99223 denies
- 99231 99231 denies
- 99232 99232 denies
- 99233 99233 denies
- 99234 99234 denies
- 99235 99235 denies
Showing 50 of 79. 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.