NCCI edits for CPT 94681
CMS lists 13 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 6,093 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 94681 denies
- 00102 94681 denies
- 00103 94681 denies
- 00104 94681 denies
- 00120 94681 denies
- 00124 94681 denies
- 00126 94681 denies
- 00140 94681 denies
- 00142 94681 denies
- 00144 94681 denies
- 00145 94681 denies
- 00147 94681 denies
- 00148 94681 denies
- 00160 94681 denies
- 00162 94681 denies
- 00164 94681 denies
- 00170 94681 denies
- 00172 94681 denies
- 00174 94681 denies
- 00176 94681 denies
- 00190 94681 denies
- 00192 94681 denies
- 00210 94681 denies
- 00211 94681 denies
- 00212 94681 denies
- 00214 94681 denies
- 00215 94681 denies
- 00216 94681 denies
- 00218 94681 denies
- 00220 94681 denies
- 00222 94681 denies
- 00300 94681 denies
- 00320 94681 denies
- 00322 94681 denies
- 00326 94681 denies
- 00350 94681 denies
- 00352 94681 denies
- 00400 94681 denies
- 00402 94681 denies
- 00404 94681 denies
- 00406 94681 denies
- 00410 94681 denies
- 00450 94681 denies
- 00454 94681 denies
- 00470 94681 denies
- 00472 94681 denies
- 00474 94681 denies
- 00500 94681 denies
- 00520 94681 denies
- 00522 94681 denies
Showing 50 of 6,093. 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.