NCCI edits for CPT 38222
CMS lists 245 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 188 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.
- 01112 01112 denies
- 01120 01120 denies
- 0213T 0213T denies
- 0216T 0216T denies
- 0263T 38222 denies
- 0264T 38222 denies
- 0265T 38222 denies
- 0656T 38222 denies
- 0657T 38222 denies
- 20240 38222 denies
- 20245 38222 denies
- 20250 38222 denies
- 20251 38222 denies
- 20900 38222 denies
- 20902 38222 denies
- 20937 38222 denies
- 20938 38222 denies
- 22100 38222 denies
- 22101 38222 denies
- 22102 38222 denies
- 22103 38222 denies
- 22110 38222 denies
- 22112 38222 denies
- 22114 38222 denies
- 22116 38222 denies
- 22206 38222 denies
- 22207 38222 denies
- 22208 38222 denies
- 22210 38222 denies
- 22212 38222 denies
- 22214 38222 denies
- 22216 38222 denies
- 22220 38222 denies
- 22222 38222 denies
- 22224 38222 denies
- 22226 38222 denies
- 22310 38222 denies
- 22315 38222 denies
- 22318 38222 denies
- 22319 38222 denies
- 22325 38222 denies
- 22326 38222 denies
- 22327 38222 denies
- 22328 38222 denies
- 22532 38222 denies
- 22533 38222 denies
- 22534 38222 denies
- 22548 38222 denies
- 22551 38222 denies
- 22552 38222 denies
Showing 50 of 245. 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.
- 0095T 38222 denies
- 0098T 38222 denies
- 0164T 38222 denies
- 0165T 38222 denies
- 0200T 38222 denies
- 0201T 38222 denies
- 0202T 38222 denies
- 0219T 38222 denies
- 0220T 38222 denies
- 0221T 38222 denies
- 0222T 38222 denies
- 0232T 0232T denies
- 0274T 38222 denies
- 0481T 0481T denies
- 0596T 0596T denies
- 0597T 0597T denies
- 0708T 0708T denies
- 0709T 0709T denies
- 0719T 38222 denies
- 0901T 38222 denies
- 0903T 0903T denies
- 0904T 0904T denies
- 0905T 0905T denies
- 10005 10005 denies
- 10007 10007 denies
- 10009 10009 denies
- 10011 10011 denies
- 10021 10021 denies
- 12001 12001 denies
- 12002 12002 denies
- 12004 12004 denies
- 12005 12005 denies
- 12006 12006 denies
- 12007 12007 denies
- 12011 12011 denies
- 12013 12013 denies
- 12014 12014 denies
- 12015 12015 denies
- 12016 12016 denies
- 12017 12017 denies
- 12018 12018 denies
- 12020 12020 denies
- 12021 12021 denies
- 12031 12031 denies
- 12032 12032 denies
- 12034 12034 denies
- 12035 12035 denies
- 12036 12036 denies
- 12037 12037 denies
- 12041 12041 denies
Showing 50 of 188. 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.