NCCI edits for CPT 95805
CMS lists 8 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 39 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 0937T denies
- 0938T 0938T denies
- 0939T 0939T denies
- 0940T 0940T denies
- 93000 93000 denies
- 93005 93005 denies
- 93010 93010 denies
- 93040 93040 denies
- 93041 93041 denies
- 93042 93042 denies
- 93224 93224 denies
- 93225 93225 denies
- 93226 93226 denies
- 93227 93227 denies
- 93241 93241 denies
- 93242 93242 denies
- 93243 93243 denies
- 93244 93244 denies
- 93245 93245 denies
- 93246 93246 denies
- 93247 93247 denies
- 93248 93248 denies
- 94200 94200 denies
- 94660 94660 denies
- 94774 95805 denies
- 94775 95805 denies
- 94776 95805 denies
- 94777 95805 denies
- 95705 95705 denies
- 95706 95706 denies
- 95707 95707 denies
- 95711 95711 denies
- 95712 95712 denies
- 95713 95713 denies
- 95717 95717 denies
- 95718 95718 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.