NCCI edits for CPT 93315
CMS lists 19 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 320 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.
- 0863T 93315 denies
- 33741 93315 denies
- 33745 93315 denies
- 36591 36591 denies
- 36592 36592 denies
- 93316 93316 denies
- 93318 93315 denies
- 93355 93315 denies
- 96523 96523 denies
- 99155 99155 denies
- 99156 99156 denies
- 99157 99157 denies
- 99446 99446 denies
- 99447 99447 denies
- 99448 99448 denies
- 99449 99449 denies
- 99451 99451 denies
- 99452 99452 denies
- C8926 93315 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 93315 denies
- 00102 93315 denies
- 00103 93315 denies
- 00104 93315 denies
- 00120 93315 denies
- 00124 93315 denies
- 00126 93315 denies
- 00140 93315 denies
- 00142 93315 denies
- 00144 93315 denies
- 00145 93315 denies
- 00147 93315 denies
- 00148 93315 denies
- 00160 93315 denies
- 00162 93315 denies
- 00164 93315 denies
- 00170 93315 denies
- 00172 93315 denies
- 00174 93315 denies
- 00176 93315 denies
- 00190 93315 denies
- 00192 93315 denies
- 00210 93315 denies
- 00211 93315 denies
- 00212 93315 denies
- 00214 93315 denies
- 00215 93315 denies
- 00216 93315 denies
- 00218 93315 denies
- 00220 93315 denies
- 00222 93315 denies
- 00300 93315 denies
- 00320 93315 denies
- 00322 93315 denies
- 00326 93315 denies
- 00350 93315 denies
- 00352 93315 denies
- 00400 93315 denies
- 00402 93315 denies
- 00404 93315 denies
- 00406 93315 denies
- 00410 93315 denies
- 00450 93315 denies
- 00454 93315 denies
- 00470 93315 denies
- 00472 93315 denies
- 00474 93315 denies
- 00500 93315 denies
- 00520 93315 denies
- 00522 93315 denies
Showing 50 of 320. 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.