NCCI edits for CPT 92511
CMS lists 208 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 471 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.
- 0213T 0213T denies
- 0216T 0216T denies
- 0397T 92511 denies
- 0652T 92511 denies
- 0653T 92511 denies
- 0654T 92511 denies
- 0781T 92511 denies
- 0782T 92511 denies
- 31231 92511 denies
- 31233 92511 denies
- 31235 92511 denies
- 31237 92511 denies
- 31238 92511 denies
- 31239 92511 denies
- 31240 92511 denies
- 31241 92511 denies
- 31242 92511 denies
- 31243 92511 denies
- 31253 92511 denies
- 31254 92511 denies
- 31255 92511 denies
- 31256 92511 denies
- 31257 92511 denies
- 31259 92511 denies
- 31267 92511 denies
- 31276 92511 denies
- 31287 92511 denies
- 31288 92511 denies
- 31290 92511 denies
- 31291 92511 denies
- 31292 92511 denies
- 31293 92511 denies
- 31294 92511 denies
- 31295 92511 denies
- 31545 92511 denies
- 31546 92511 denies
- 31579 92511 denies
- 31622 92511 denies
- 31623 92511 denies
- 31624 92511 denies
- 31625 92511 denies
- 31626 92511 denies
- 31628 92511 denies
- 31629 92511 denies
- 31630 92511 denies
- 31631 92511 denies
- 31634 92511 denies
- 31635 92511 denies
- 31636 92511 denies
- 31638 92511 denies
Showing 50 of 208. 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.
- 00100 92511 denies
- 00102 92511 denies
- 00103 92511 denies
- 00104 92511 denies
- 00120 92511 denies
- 00124 92511 denies
- 00126 92511 denies
- 00140 92511 denies
- 00142 92511 denies
- 00144 92511 denies
- 00145 92511 denies
- 00147 92511 denies
- 00148 92511 denies
- 00160 92511 denies
- 00162 92511 denies
- 00164 92511 denies
- 00170 92511 denies
- 00172 92511 denies
- 00174 92511 denies
- 00176 92511 denies
- 00190 92511 denies
- 00192 92511 denies
- 00210 92511 denies
- 00211 92511 denies
- 00212 92511 denies
- 00214 92511 denies
- 00215 92511 denies
- 00216 92511 denies
- 00218 92511 denies
- 00220 92511 denies
- 00222 92511 denies
- 00300 92511 denies
- 00320 92511 denies
- 00322 92511 denies
- 00326 92511 denies
- 00350 92511 denies
- 00352 92511 denies
- 00400 92511 denies
- 00402 92511 denies
- 00404 92511 denies
- 00406 92511 denies
- 00410 92511 denies
- 00450 92511 denies
- 00454 92511 denies
- 00470 92511 denies
- 00472 92511 denies
- 00474 92511 denies
- 00500 92511 denies
- 00520 92511 denies
- 00522 92511 denies
Showing 50 of 471. The plain-text version contains every pair.
NCCI edits are not a coverage determination or a substitute for the current CMS NCCI Policy Manual. Deleted pairs are excluded from this page.