NCCI edits for CPT 95812
CMS lists 307 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 5,780 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.
- 00100 95812 denies
- 00102 95812 denies
- 00103 95812 denies
- 00104 95812 denies
- 00120 95812 denies
- 00124 95812 denies
- 00126 95812 denies
- 00140 95812 denies
- 00142 95812 denies
- 00144 95812 denies
- 00145 95812 denies
- 00147 95812 denies
- 00148 95812 denies
- 00160 95812 denies
- 00162 95812 denies
- 00164 95812 denies
- 00170 95812 denies
- 00172 95812 denies
- 00174 95812 denies
- 00176 95812 denies
- 00190 95812 denies
- 00192 95812 denies
- 00210 95812 denies
- 00211 95812 denies
- 00212 95812 denies
- 00214 95812 denies
- 00215 95812 denies
- 00216 95812 denies
- 00218 95812 denies
- 00220 95812 denies
- 00222 95812 denies
- 00300 95812 denies
- 00320 95812 denies
- 00322 95812 denies
- 00326 95812 denies
- 00350 95812 denies
- 00352 95812 denies
- 00400 95812 denies
- 00402 95812 denies
- 00404 95812 denies
- 00406 95812 denies
- 00410 95812 denies
- 00450 95812 denies
- 00454 95812 denies
- 00470 95812 denies
- 00472 95812 denies
- 00474 95812 denies
- 00500 95812 denies
- 00520 95812 denies
- 00522 95812 denies
Showing 50 of 307. The plain-text version contains every pair.
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.
- 0200T 95812 denies
- 0201T 95812 denies
- 0202T 95812 denies
- 0207T 95812 denies
- 0213T 95812 denies
- 0216T 95812 denies
- 0219T 95812 denies
- 0220T 95812 denies
- 0221T 95812 denies
- 0234T 95812 denies
- 0235T 95812 denies
- 0236T 95812 denies
- 0237T 95812 denies
- 0238T 95812 denies
- 0253T 95812 denies
- 0263T 95812 denies
- 0265T 95812 denies
- 0274T 95812 denies
- 0308T 95812 denies
- 0335T 95812 denies
- 0338T 95812 denies
- 0339T 95812 denies
- 0342T 95812 denies
- 0345T 95812 denies
- 0347T 95812 denies
- 0395T 95812 denies
- 0397T 95812 denies
- 0402T 95812 denies
- 0408T 95812 denies
- 0409T 95812 denies
- 0410T 95812 denies
- 0411T 95812 denies
- 0412T 95812 denies
- 0413T 95812 denies
- 0414T 95812 denies
- 0415T 95812 denies
- 0416T 95812 denies
- 0419T 95812 denies
- 0420T 95812 denies
- 0437T 95812 denies
- 0440T 95812 denies
- 0441T 95812 denies
- 0442T 95812 denies
- 0444T 95812 denies
- 0445T 95812 denies
- 0446T 95812 denies
- 0447T 95812 denies
- 0448T 95812 denies
- 0449T 95812 denies
- 0450T 95812 denies
Showing 50 of 5,780. 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.