NCCI edits for CPT 94003
CMS lists 192 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 0 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.
- 00520 00520 denies
- 0591T 94003 denies
- 0592T 94003 denies
- 0593T 94003 denies
- 0734T 94003 denies
- 36591 36591 denies
- 36592 36592 denies
- 94002 94003 denies
- 94004 94004 denies
- 94375 94375 denies
- 94450 94450 denies
- 94660 94660 denies
- 96160 94003 denies
- 96161 94003 denies
- 96523 96523 denies
- 98000 94003 denies
- 98001 94003 denies
- 98002 94003 denies
- 98003 94003 denies
- 98004 94003 denies
- 98005 94003 denies
- 98006 94003 denies
- 98007 94003 denies
- 98008 94003 denies
- 98009 94003 denies
- 98010 94003 denies
- 98011 94003 denies
- 98012 94003 denies
- 98013 94003 denies
- 98014 94003 denies
- 98015 94003 denies
- 98016 94003 denies
- 99202 94003 denies
- 99203 94003 denies
- 99204 94003 denies
- 99205 94003 denies
- 99211 94003 denies
- 99212 94003 denies
- 99213 94003 denies
- 99214 94003 denies
- 99215 94003 denies
- 99221 94003 denies
- 99222 94003 denies
- 99223 94003 denies
- 99231 94003 denies
- 99232 94003 denies
- 99233 94003 denies
- 99234 94003 denies
- 99235 94003 denies
- 99236 94003 denies
Showing 50 of 192. 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.