NCCI edits for CPT 92516
CMS lists 3 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 273 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.
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 92516 denies
- 00102 92516 denies
- 00103 92516 denies
- 00104 92516 denies
- 00120 92516 denies
- 00124 92516 denies
- 00126 92516 denies
- 00140 92516 denies
- 00142 92516 denies
- 00144 92516 denies
- 00145 92516 denies
- 00147 92516 denies
- 00148 92516 denies
- 00160 92516 denies
- 00162 92516 denies
- 00164 92516 denies
- 00170 92516 denies
- 00172 92516 denies
- 00174 92516 denies
- 00176 92516 denies
- 00190 92516 denies
- 00192 92516 denies
- 00210 92516 denies
- 00211 92516 denies
- 00212 92516 denies
- 00214 92516 denies
- 00215 92516 denies
- 00216 92516 denies
- 00218 92516 denies
- 00220 92516 denies
- 00222 92516 denies
- 00300 92516 denies
- 00320 92516 denies
- 00322 92516 denies
- 00326 92516 denies
- 00350 92516 denies
- 00352 92516 denies
- 00400 92516 denies
- 00402 92516 denies
- 00404 92516 denies
- 00406 92516 denies
- 00410 92516 denies
- 00450 92516 denies
- 00454 92516 denies
- 00470 92516 denies
- 00472 92516 denies
- 00474 92516 denies
- 00500 92516 denies
- 00520 92516 denies
- 00522 92516 denies
Showing 50 of 273. 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.