NCCI edits for CPT 93294
CMS lists 45 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 98 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.
- 0521T 93294 denies
- 0571T 0571T denies
- 0572T 0572T denies
- 0573T 0573T denies
- 0574T 0574T denies
- 0575T 0575T denies
- 0576T 0576T denies
- 0577T 0577T denies
- 0578T 0578T denies
- 0579T 0579T denies
- 0580T 0580T denies
- 0733T 0733T denies
- 0734T 93294 denies
- 33270 93294 denies
- 33271 93294 denies
- 33272 93294 denies
- 33273 93294 denies
- 36591 36591 denies
- 36592 36592 denies
- 93261 93294 denies
- 93264 93264 denies
- 93268 93268 denies
- 93270 93270 denies
- 93271 93271 denies
- 93272 93272 denies
- 93288 93288 denies
- 93289 93294 denies
- 93291 93291 denies
- 93292 93292 denies
- 93298 93298 denies
- 96523 96523 denies
- 98975 98975 denies
- 98976 98976 denies
- 98977 98977 denies
- 98980 93294 denies
- 98981 93294 denies
- 99091 93294 denies
- 99453 99453 denies
- 99454 99454 denies
- 99457 93294 denies
- 99458 93294 denies
- 99473 99473 denies
- 99474 93294 denies
- G0248 G0248 denies
- G0250 93294 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.
- 0515T 93294 denies
- 0516T 93294 denies
- 0517T 93294 denies
- 0518T 93294 denies
- 0519T 93294 denies
- 0520T 93294 denies
- 0525T 0525T denies
- 0526T 0526T denies
- 0527T 0527T denies
- 0529T 0529T denies
- 0530T 93294 denies
- 0531T 93294 denies
- 0532T 93294 denies
- 0614T 93294 denies
- 0695T 93294 denies
- 0696T 93294 denies
- 0903T 0903T denies
- 0904T 0904T denies
- 0905T 0905T denies
- 0919T 93294 denies
- 0920T 93294 denies
- 0921T 93294 denies
- 0922T 93294 denies
- 0928T 93294 denies
- 0933T 93294 denies
- 0934T 0934T denies
- 0937T 0937T denies
- 0938T 0938T denies
- 0939T 0939T denies
- 0940T 0940T denies
- 33202 93294 denies
- 33203 93294 denies
- 33206 93294 denies
- 33207 93294 denies
- 33208 93294 denies
- 33210 93294 denies
- 33211 93294 denies
- 33212 93294 denies
- 33213 93294 denies
- 33214 93294 denies
- 33215 93294 denies
- 33216 93294 denies
- 33217 93294 denies
- 33218 93294 denies
- 33220 93294 denies
- 33221 93294 denies
- 33222 93294 denies
- 33223 93294 denies
- 33224 93294 denies
- 33225 93294 denies
Showing 50 of 98. 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.