NCCI edits for CPT 76942
CMS lists 27 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 907 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.
- 0867T 76942 denies
- 0872T 76942 denies
- 0933T 76942 denies
- 34713 76942 denies
- 36475 76942 denies
- 36478 76942 denies
- 36479 76942 denies
- 36591 36591 denies
- 36592 36592 denies
- 43232 76942 denies
- 43238 76942 denies
- 43240 76942 denies
- 43242 76942 denies
- 43253 76942 denies
- 45342 76942 denies
- 46945 76942 denies
- 46946 76942 denies
- 55873 76942 denies
- 60660 60660 denies
- 64466 64466 denies
- 64467 64467 denies
- 64468 64468 denies
- 64469 64469 denies
- 64473 76942 denies
- 64474 76942 denies
- 76975 76942 denies
- 96523 96523 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.
- 0054T 76942 denies
- 0055T 76942 denies
- 0075T 76942 denies
- 01922 01922 denies
- 0213T 76942 denies
- 0214T 76942 denies
- 0215T 76942 denies
- 0216T 76942 denies
- 0217T 76942 denies
- 0218T 76942 denies
- 0219T 76942 denies
- 0220T 76942 denies
- 0221T 76942 denies
- 0232T 76942 denies
- 0234T 76942 denies
- 0235T 76942 denies
- 0236T 76942 denies
- 0237T 76942 denies
- 0238T 76942 denies
- 0263T 76942 denies
- 0264T 76942 denies
- 0274T 76942 denies
- 0345T 76942 denies
- 0351T 76942 denies
- 0353T 76942 denies
- 0397T 76942 denies
- 0408T 76942 denies
- 0409T 76942 denies
- 0410T 76942 denies
- 0411T 76942 denies
- 0412T 76942 denies
- 0413T 76942 denies
- 0414T 76942 denies
- 0415T 76942 denies
- 0416T 76942 denies
- 0481T 76942 denies
- 0483T 76942 denies
- 0484T 76942 denies
- 0505T 76942 denies
- 0515T 76942 denies
- 0516T 76942 denies
- 0517T 76942 denies
- 0518T 76942 denies
- 0519T 76942 denies
- 0520T 76942 denies
- 0524T 76942 denies
- 0525T 76942 denies
- 0526T 76942 denies
- 0527T 76942 denies
- 0530T 76942 denies
Showing 50 of 907. 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.