NCCI edits for CPT 92522
CMS lists 12 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 18 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.
- 0728T 92522 denies
- 0729T 92522 denies
- 92601 92522 denies
- 92602 92522 denies
- 92603 92522 denies
- 92604 92522 denies
- 92607 92522 denies
- 92609 92522 denies
- 92640 92522 denies
- 96105 96105 denies
- 96125 96125 denies
- 96130 96130 denies
- 96132 96132 denies
- 96136 96136 denies
- 96138 96138 denies
- 96146 96146 denies
- G0153 92522 denies
- G0161 92522 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.