NCCI edits for CPT 94775
CMS lists 11 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 68 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.
- 0903T 0903T denies
- 0904T 0904T denies
- 0905T 0905T denies
- 0937T 94775 denies
- 0938T 94775 denies
- 0939T 94775 denies
- 0940T 94775 denies
- 93000 93000 denies
- 93005 93005 denies
- 93010 93010 denies
- 93040 93040 denies
- 93041 93041 denies
- 93042 93042 denies
- 93224 94775 denies
- 93225 94775 denies
- 93226 94775 denies
- 93227 94775 denies
- 93228 94775 denies
- 93229 94775 denies
- 93241 94775 denies
- 93242 94775 denies
- 93243 94775 denies
- 93244 94775 denies
- 93245 94775 denies
- 93246 94775 denies
- 93247 94775 denies
- 93248 94775 denies
- 93268 94775 denies
- 93270 94775 denies
- 93271 94775 denies
- 93272 94775 denies
- 94772 94772 denies
- 94774 94775 denies
- 95805 95805 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
Showing 50 of 68. 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.