NCCI edits for CPT 92004
CMS lists 99 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 19 pairs with modifier indicator 1, where an NCCI-associated modifier may be allowed when the documentation supports it.
NCCI release: Q3 2026. Source: CMS National Correct Coding Initiative (NCCI) Edits. Complete plain-text list.
Check a paired code Copy link
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, and it is the Column Two code that is denied while Column One is paid.
- 0469T 0469T denies
- 36591 36591 denies
- 36592 36592 denies
- 92002 92004 denies
- 92012 92004 denies
- 92014 92004 denies
- 92018 92004 denies
- 92019 92004 denies
- 92227 92227 denies
- 92228 92228 denies
- 96156 96156 denies
- 96158 96158 denies
- 96159 96159 denies
- 96164 96164 denies
- 96165 96165 denies
- 96167 96167 denies
- 96168 96168 denies
- 96523 96523 denies
- 97802 97802 denies
- 97803 97803 denies
- 97804 97804 denies
- 99172 99172 denies
- 99173 99173 denies
- 99174 99174 denies
- 99177 99177 denies
- 99202 92004 denies
- 99203 92004 denies
- 99204 92004 denies
- 99205 92004 denies
- 99211 92004 denies
- 99212 92004 denies
- 99213 92004 denies
- 99214 92004 denies
- 99215 92004 denies
- 99221 92004 denies
- 99222 92004 denies
- 99223 92004 denies
- 99231 92004 denies
- 99232 92004 denies
- 99233 92004 denies
- 99234 92004 denies
- 99235 92004 denies
- 99236 92004 denies
- 99238 92004 denies
- 99239 92004 denies
- 99281 92004 denies
- 99282 92004 denies
- 99283 92004 denies
- 99284 92004 denies
- 99285 92004 denies
Showing 50 of 99. 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.
- 0591T 92004 denies
- 0592T 92004 denies
- 0593T 92004 denies
- 96112 92004 denies
- 96113 92004 denies
- 99605 99605 denies
- 99606 99606 denies
- G0380 92004 denies
- G0381 92004 denies
- G0382 92004 denies
- G0383 92004 denies
- G0384 92004 denies
- G0402 92004 denies
- G0438 92004 denies
- G0439 92004 denies
- G0442 92004 denies
- G0443 92004 denies
- G0444 92004 denies
- G0445 92004 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.