NCCI edits for CPT 95803
CMS lists 21 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 1 pair 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.
- 0733T 0733T denies
- 36591 36591 denies
- 36592 36592 denies
- 95782 95803 denies
- 95783 95803 denies
- 95800 95803 denies
- 95801 95803 denies
- 95805 95803 denies
- 95806 95803 denies
- 95807 95803 denies
- 95808 95803 denies
- 95810 95803 denies
- 95811 95803 denies
- 96523 96523 denies
- 98975 98975 denies
- 98976 98976 denies
- 98977 98977 denies
- 99453 99453 denies
- 99454 99454 denies
- 99473 99473 denies
- G0248 G0248 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.
- G0250 G0250 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.