NCCI edits for CPT 93451
CMS lists 102 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 554 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.
- 01920 01920 denies
- 0213T 0213T denies
- 0216T 0216T denies
- 0613T 93451 denies
- 0632T 93451 denies
- 0798T 0798T denies
- 0799T 0799T denies
- 0800T 0800T denies
- 0801T 93451 denies
- 0802T 93451 denies
- 0803T 93451 denies
- 33210 33210 denies
- 33289 93451 denies
- 33741 93451 denies
- 33745 93451 denies
- 33746 93451 denies
- 36013 36013 denies
- 36014 36014 denies
- 36015 36015 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
Showing 50 of 102. 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 93451 denies
- 00102 93451 denies
- 00103 93451 denies
- 00104 93451 denies
- 00120 93451 denies
- 00124 93451 denies
- 00126 93451 denies
- 00140 93451 denies
- 00142 93451 denies
- 00144 93451 denies
- 00145 93451 denies
- 00147 93451 denies
- 00148 93451 denies
- 00160 93451 denies
- 00162 93451 denies
- 00164 93451 denies
- 00170 93451 denies
- 00172 93451 denies
- 00174 93451 denies
- 00176 93451 denies
- 00190 93451 denies
- 00192 93451 denies
- 00210 93451 denies
- 00211 93451 denies
- 00212 93451 denies
- 00214 93451 denies
- 00215 93451 denies
- 00216 93451 denies
- 00218 93451 denies
- 00220 93451 denies
- 00222 93451 denies
- 00300 93451 denies
- 00320 93451 denies
- 00322 93451 denies
- 00326 93451 denies
- 00350 93451 denies
- 00352 93451 denies
- 00400 93451 denies
- 00402 93451 denies
- 00404 93451 denies
- 00406 93451 denies
- 00410 93451 denies
- 00450 93451 denies
- 00454 93451 denies
- 00470 93451 denies
- 00472 93451 denies
- 00474 93451 denies
- 00500 93451 denies
- 00520 93451 denies
- 00522 93451 denies
Showing 50 of 554. 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.