NCCI edits for CPT 93042
CMS lists 18 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 6,223 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: the Column Two code is denied and the Column One code is paid.
- 0902T 0902T denies
- 36591 36591 denies
- 36592 36592 denies
- 94619 93042 denies
- 96523 96523 denies
- 99291 93042 denies
- 99292 93042 denies
- 99468 93042 denies
- 99469 93042 denies
- 99471 93042 denies
- 99472 93042 denies
- 99475 93042 denies
- 99476 93042 denies
- 99477 93042 denies
- 99478 93042 denies
- 99479 93042 denies
- 99480 93042 denies
- G0166 93042 denies
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 93042 denies
- 00102 93042 denies
- 00103 93042 denies
- 00104 93042 denies
- 00120 93042 denies
- 00124 93042 denies
- 00126 93042 denies
- 00140 93042 denies
- 00142 93042 denies
- 00144 93042 denies
- 00145 93042 denies
- 00147 93042 denies
- 00148 93042 denies
- 00160 93042 denies
- 00162 93042 denies
- 00164 93042 denies
- 00170 93042 denies
- 00172 93042 denies
- 00174 93042 denies
- 00176 93042 denies
- 00190 93042 denies
- 00192 93042 denies
- 00210 93042 denies
- 00211 93042 denies
- 00212 93042 denies
- 00214 93042 denies
- 00215 93042 denies
- 00216 93042 denies
- 00218 93042 denies
- 00220 93042 denies
- 00222 93042 denies
- 00300 93042 denies
- 00320 93042 denies
- 00322 93042 denies
- 00326 93042 denies
- 00350 93042 denies
- 00352 93042 denies
- 00400 93042 denies
- 00402 93042 denies
- 00404 93042 denies
- 00406 93042 denies
- 00410 93042 denies
- 00450 93042 denies
- 00454 93042 denies
- 00470 93042 denies
- 00472 93042 denies
- 00474 93042 denies
- 00500 93042 denies
- 00520 93042 denies
- 00522 93042 denies
Showing 50 of 6,223. 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.