NCCI edits for CPT 94015
CMS lists 12 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 41 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.
- 94010 94010 denies
- 94011 94011 denies
- 94014 94015 denies
- 94016 94015 denies
- 94200 94200 denies
- 94375 94375 denies
- 94728 94728 denies
- 99202 99202 denies
- 99203 99203 denies
- 99204 99204 denies
- 99205 99205 denies
- 99211 99211 denies
- 99212 99212 denies
- 99213 99213 denies
- 99214 99214 denies
- 99215 99215 denies
- 99281 99281 denies
- 99282 99282 denies
- 99283 99283 denies
- 99284 99284 denies
- 99285 99285 denies
- 99304 99304 denies
- 99305 99305 denies
- 99306 99306 denies
- 99307 99307 denies
- 99308 99308 denies
- 99309 99309 denies
- 99310 99310 denies
- 99315 99315 denies
- 99316 99316 denies
- 99341 99341 denies
- 99342 99342 denies
- 99344 99344 denies
- 99345 99345 denies
- 99347 99347 denies
- 99348 99348 denies
- 99349 99349 denies
- 99350 99350 denies
- 99483 99483 denies
- 99497 99497 denies
- G0463 G0463 denies
NCCI edits are not a coverage determination or a substitute for the current CMS NCCI Policy Manual. Deleted pairs are excluded from this page.