NCCI edits for CPT 95079
CMS lists 3 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 174 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 2 units 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.
- 0591T 0591T denies
- 0592T 0592T denies
- 0593T 0593T denies
- 95115 95079 denies
- 95117 95079 denies
- 95120 95079 denies
- 95125 95079 denies
- 95130 95079 denies
- 95131 95079 denies
- 95132 95079 denies
- 95133 95079 denies
- 95134 95079 denies
- 95144 95079 denies
- 95145 95079 denies
- 95146 95079 denies
- 95147 95079 denies
- 95148 95079 denies
- 95149 95079 denies
- 95165 95079 denies
- 95170 95079 denies
- 95180 95079 denies
- 96160 96160 denies
- 96161 96161 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
- 99221 99221 denies
- 99222 99222 denies
- 99223 99223 denies
- 99231 99231 denies
- 99232 99232 denies
- 99233 99233 denies
- 99234 99234 denies
- 99235 99235 denies
- 99236 99236 denies
- 99238 99238 denies
- 99239 99239 denies
- 99242 99242 denies
- 99243 99243 denies
- 99244 99244 denies
- 99245 99245 denies
- 99252 99252 denies
- 99253 99253 denies
- 99254 99254 denies
Showing 50 of 174. 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.