NCCI edits for CPT 90940
CMS lists 67 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 21 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.
- 36591 36591 denies
- 36592 36592 denies
- 93990 90940 denies
- 96523 96523 denies
- 97802 97802 denies
- 97803 97803 denies
- 97804 97804 denies
- 99202 90940 denies
- 99203 90940 denies
- 99204 90940 denies
- 99205 90940 denies
- 99211 90940 denies
- 99212 90940 denies
- 99213 90940 denies
- 99214 90940 denies
- 99215 90940 denies
- 99221 90940 denies
- 99222 90940 denies
- 99223 90940 denies
- 99231 90940 denies
- 99232 90940 denies
- 99233 90940 denies
- 99234 90940 denies
- 99235 90940 denies
- 99236 90940 denies
- 99238 90940 denies
- 99239 90940 denies
- 99281 90940 denies
- 99282 90940 denies
- 99283 90940 denies
- 99284 90940 denies
- 99285 90940 denies
- 99291 90940 denies
- 99292 90940 denies
- 99304 90940 denies
- 99305 90940 denies
- 99306 90940 denies
- 99307 90940 denies
- 99308 90940 denies
- 99309 90940 denies
- 99310 90940 denies
- 99315 90940 denies
- 99316 90940 denies
- 99358 90940 denies
- 99415 90940 denies
- 99418 90940 denies
- 99466 90940 denies
- 99468 90940 denies
- 99469 90940 denies
- 99477 90940 denies
Showing 50 of 67. 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.
- 0708T 0708T denies
- 0709T 0709T denies
- 36000 36000 denies
- 36410 36410 denies
- 96360 96360 denies
- 96365 96365 denies
- 96372 96372 denies
- 96374 96374 denies
- 96375 96375 denies
- 96376 96376 denies
- 96377 96377 denies
- 99471 90940 denies
- 99472 90940 denies
- 99475 90940 denies
- 99476 90940 denies
- 99479 90940 denies
- G0380 90940 denies
- G0381 90940 denies
- G0382 90940 denies
- G0383 90940 denies
- G0384 90940 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.