NCCI edits for CPT 92228
CMS lists 16 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 46 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.
- 0604T 0604T denies
- 0605T 0605T denies
- 0606T 0606T denies
- 36591 36591 denies
- 36592 36592 denies
- 92002 92228 denies
- 92004 92228 denies
- 92012 92228 denies
- 92014 92228 denies
- 92133 92133 denies
- 92134 92134 denies
- 92137 92228 denies
- 92227 92227 denies
- 92229 92229 denies
- 92250 92250 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.
- 99202 92228 denies
- 99203 92228 denies
- 99204 92228 denies
- 99205 92228 denies
- 99211 92228 denies
- 99212 92228 denies
- 99213 92228 denies
- 99214 92228 denies
- 99215 92228 denies
- 99221 92228 denies
- 99222 92228 denies
- 99223 92228 denies
- 99231 92228 denies
- 99232 92228 denies
- 99233 92228 denies
- 99234 92228 denies
- 99235 92228 denies
- 99236 92228 denies
- 99238 92228 denies
- 99239 92228 denies
- 99281 92228 denies
- 99282 92228 denies
- 99283 92228 denies
- 99284 92228 denies
- 99285 92228 denies
- 99291 92228 denies
- 99304 92228 denies
- 99305 92228 denies
- 99306 92228 denies
- 99307 92228 denies
- 99308 92228 denies
- 99309 92228 denies
- 99310 92228 denies
- 99315 92228 denies
- 99316 92228 denies
- 99341 92228 denies
- 99342 92228 denies
- 99344 92228 denies
- 99345 92228 denies
- 99347 92228 denies
- 99348 92228 denies
- 99349 92228 denies
- 99350 92228 denies
- 99483 92228 denies
- 99497 92228 denies
- G0463 92228 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.