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: 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.
- 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.