NCCI edits for CPT 94200
CMS lists 3 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 6,106 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 94200 denies
- 00102 94200 denies
- 00103 94200 denies
- 00104 94200 denies
- 00120 94200 denies
- 00124 94200 denies
- 00126 94200 denies
- 00140 94200 denies
- 00142 94200 denies
- 00144 94200 denies
- 00145 94200 denies
- 00147 94200 denies
- 00148 94200 denies
- 00160 94200 denies
- 00162 94200 denies
- 00164 94200 denies
- 00170 94200 denies
- 00172 94200 denies
- 00174 94200 denies
- 00176 94200 denies
- 00190 94200 denies
- 00192 94200 denies
- 00210 94200 denies
- 00211 94200 denies
- 00212 94200 denies
- 00214 94200 denies
- 00215 94200 denies
- 00216 94200 denies
- 00218 94200 denies
- 00220 94200 denies
- 00222 94200 denies
- 00300 94200 denies
- 00320 94200 denies
- 00322 94200 denies
- 00326 94200 denies
- 00350 94200 denies
- 00352 94200 denies
- 00400 94200 denies
- 00402 94200 denies
- 00404 94200 denies
- 00406 94200 denies
- 00410 94200 denies
- 00450 94200 denies
- 00454 94200 denies
- 00470 94200 denies
- 00472 94200 denies
- 00474 94200 denies
- 00500 94200 denies
- 00520 94200 denies
- 00522 94200 denies
Showing 50 of 6,106. 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.