NCCI edits for CPT 74425
CMS lists 3 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 45 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 2 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.
- 0708T 0708T denies
- 0709T 0709T denies
- 36000 36000 denies
- 36011 36011 denies
- 36410 36410 denies
- 36425 36425 denies
- 50080 74425 denies
- 50081 74425 denies
- 50430 74425 denies
- 50431 74425 denies
- 50432 74425 denies
- 50433 74425 denies
- 50434 74425 denies
- 50435 74425 denies
- 50606 74425 denies
- 50688 74425 denies
- 50693 74425 denies
- 50694 74425 denies
- 50695 74425 denies
- 50705 74425 denies
- 50706 74425 denies
- 74018 74018 denies
- 74019 74019 denies
- 74021 74021 denies
- 74400 74400 denies
- 74410 74425 denies
- 74415 74425 denies
- 74420 74425 denies
- 76000 76000 denies
- 76100 74425 denies
- 77001 77001 denies
- 77002 77002 denies
- 96360 96360 denies
- 96365 96365 denies
- 96372 96372 denies
- 96374 96374 denies
- 96375 96375 denies
- 96376 96376 denies
- 96377 96377 denies
- 99446 99446 denies
- 99447 99447 denies
- 99448 99448 denies
- 99449 99449 denies
- 99451 99451 denies
- 99452 99452 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.