NCCI edits for CPT 93985
CMS lists 9 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 342 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.
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 93985 denies
- 00102 93985 denies
- 00103 93985 denies
- 00104 93985 denies
- 00120 93985 denies
- 00124 93985 denies
- 00126 93985 denies
- 00140 93985 denies
- 00142 93985 denies
- 00144 93985 denies
- 00145 93985 denies
- 00147 93985 denies
- 00148 93985 denies
- 00160 93985 denies
- 00162 93985 denies
- 00164 93985 denies
- 00170 93985 denies
- 00172 93985 denies
- 00174 93985 denies
- 00176 93985 denies
- 00190 93985 denies
- 00192 93985 denies
- 00210 93985 denies
- 00211 93985 denies
- 00212 93985 denies
- 00214 93985 denies
- 00215 93985 denies
- 00216 93985 denies
- 00218 93985 denies
- 00220 93985 denies
- 00222 93985 denies
- 00300 93985 denies
- 00320 93985 denies
- 00322 93985 denies
- 00326 93985 denies
- 00350 93985 denies
- 00352 93985 denies
- 00400 93985 denies
- 00402 93985 denies
- 00404 93985 denies
- 00406 93985 denies
- 00410 93985 denies
- 00450 93985 denies
- 00454 93985 denies
- 00470 93985 denies
- 00472 93985 denies
- 00474 93985 denies
- 00500 93985 denies
- 00520 93985 denies
- 00522 93985 denies
Showing 50 of 342. 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.