NCCI edits for CPT 92961
CMS lists 64 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 782 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.
- 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 782. 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.