NCCI edits for CPT 94375
CMS lists 24 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 47 pairs with modifier indicator 1, where an NCCI-associated modifier may be allowed when the documentation supports it.
NCCI release: Q3 2026. Source: CMS National Correct Coding Initiative (NCCI) Edits. Complete plain-text list.
Check a paired code Copy link
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, and it is the Column Two code that is denied while Column One is paid.
- 00520 00520 denies
- 36591 36591 denies
- 36592 36592 denies
- 94002 94375 denies
- 94003 94375 denies
- 94004 94375 denies
- 94005 94375 denies
- 94010 94375 denies
- 94060 94375 denies
- 96523 96523 denies
- 99466 94375 denies
- 99467 94375 denies
- 99468 94375 denies
- 99469 94375 denies
- 99471 94375 denies
- 99472 94375 denies
- 99475 94375 denies
- 99476 94375 denies
- 99477 94375 denies
- 99478 94375 denies
- 99479 94375 denies
- 99480 94375 denies
- 99485 94375 denies
- 99486 94375 denies
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.
- 94011 94375 denies
- 94012 94375 denies
- 94014 94375 denies
- 94015 94375 denies
- 94016 94375 denies
- 94070 94375 denies
- 94660 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
- 99291 94375 denies
- 99292 94375 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
- G0237 94375 denies
- G0238 94375 denies
- G0239 94375 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.