NCCI edits for CPT 92961
CMS lists 64 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 787 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
- 33210 33210 denies
- 33211 33211 denies
- 36591 36591 denies
- 36592 36592 denies
- 62320 62320 denies
- 62321 62321 denies
- 62322 62322 denies
- 62323 62323 denies
- 62324 62324 denies
- 62325 62325 denies
- 62326 62326 denies
- 62327 62327 denies
- 64400 64400 denies
- 64405 64405 denies
- 64408 64408 denies
- 64415 64415 denies
- 64416 64416 denies
- 64417 64417 denies
- 64418 64418 denies
- 64420 64420 denies
- 64421 64421 denies
- 64425 64425 denies
- 64430 64430 denies
- 64435 64435 denies
- 64445 64445 denies
- 64446 64446 denies
- 64447 64447 denies
- 64448 64448 denies
- 64449 64449 denies
- 64450 64450 denies
- 64451 64451 denies
- 64454 64454 denies
- 64461 64461 denies
- 64462 64462 denies
- 64463 64463 denies
- 64468 64468 denies
- 64469 64469 denies
- 64479 64479 denies
- 64480 64480 denies
- 64483 64483 denies
- 64484 64484 denies
- 64486 64486 denies
- 64487 64487 denies
- 64488 64488 denies
- 64489 64489 denies
- 64490 64490 denies
- 64491 64491 denies
- 64492 64492 denies
Showing 50 of 64. 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 92961 denies
- 00102 92961 denies
- 00103 92961 denies
- 00104 92961 denies
- 00120 92961 denies
- 00124 92961 denies
- 00126 92961 denies
- 00140 92961 denies
- 00142 92961 denies
- 00144 92961 denies
- 00145 92961 denies
- 00147 92961 denies
- 00148 92961 denies
- 00160 92961 denies
- 00162 92961 denies
- 00164 92961 denies
- 00170 92961 denies
- 00172 92961 denies
- 00174 92961 denies
- 00176 92961 denies
- 00190 92961 denies
- 00192 92961 denies
- 00210 92961 denies
- 00211 92961 denies
- 00212 92961 denies
- 00214 92961 denies
- 00215 92961 denies
- 00216 92961 denies
- 00218 92961 denies
- 00220 92961 denies
- 00222 92961 denies
- 00300 92961 denies
- 00320 92961 denies
- 00322 92961 denies
- 00326 92961 denies
- 00350 92961 denies
- 00352 92961 denies
- 00400 92961 denies
- 00402 92961 denies
- 00404 92961 denies
- 00406 92961 denies
- 00410 92961 denies
- 00450 92961 denies
- 00454 92961 denies
- 00470 92961 denies
- 00472 92961 denies
- 00474 92961 denies
- 00500 92961 denies
- 00520 92961 denies
- 00522 92961 denies
Showing 50 of 787. 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.