NCCI edits for CPT 22208
CMS lists 12 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 67 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 5 units 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.
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.
- 11000 11000 denies
- 11001 11001 denies
- 11004 11004 denies
- 11005 11005 denies
- 11006 11006 denies
- 11042 11042 denies
- 11043 11043 denies
- 11044 11044 denies
- 11045 11045 denies
- 11046 11046 denies
- 11047 11047 denies
- 22210 22210 denies
- 22212 22212 denies
- 22214 22214 denies
- 22216 22216 denies
- 22220 22208 denies
- 22222 22208 denies
- 22224 22208 denies
- 22226 22226 denies
- 22830 22208 denies
- 62380 22208 denies
- 63001 22208 denies
- 63003 22208 denies
- 63005 22208 denies
- 63011 22208 denies
- 63012 22208 denies
- 63015 22208 denies
- 63016 22208 denies
- 63017 22208 denies
- 63020 22208 denies
- 63030 22208 denies
- 63035 63035 denies
- 63040 22208 denies
- 63042 22208 denies
- 63043 63043 denies
- 63044 63044 denies
- 63045 22208 denies
- 63046 22208 denies
- 63047 22208 denies
- 63048 63048 denies
- 63052 22208 denies
- 63053 22208 denies
- 63055 22208 denies
- 63056 22208 denies
- 63057 63057 denies
- 63064 22208 denies
- 63066 63066 denies
- 63075 22208 denies
- 63076 63076 denies
- 63077 22208 denies
Showing 50 of 67. 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.