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, and it is the Column Two code that is denied while Column One 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.