NCCI edits for CPT 92242
CMS lists 11 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 35 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.
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
- 0903T 0903T denies
- 0904T 0904T denies
- 0905T 0905T denies
- 36000 36000 denies
- 36200 36200 denies
- 36215 36215 denies
- 36216 36216 denies
- 36217 36217 denies
- 36218 36218 denies
- 36245 36245 denies
- 36246 36246 denies
- 36247 36247 denies
- 36248 36248 denies
- 36410 36410 denies
- 76000 76000 denies
- 77001 77001 denies
- 77002 77002 denies
- 92230 92230 denies
- 92250 92250 denies
- 93000 93000 denies
- 93005 93005 denies
- 93010 93010 denies
- 93040 93040 denies
- 93041 93041 denies
- 93042 93042 denies
- 96360 96360 denies
- 96365 96365 denies
- 96372 96372 denies
- 96374 96374 denies
- 96375 96375 denies
- 96376 96376 denies
- 96377 96377 denies
- 99211 99211 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.