NCCI edits for CPT 95852
CMS lists 87 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 26 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.
- 36591 36591 denies
- 36592 36592 denies
- 96523 96523 denies
- 97161 95852 denies
- 97162 95852 denies
- 97163 95852 denies
- 97164 95852 denies
- 97165 95852 denies
- 97166 95852 denies
- 97167 95852 denies
- 97168 95852 denies
- 97169 95852 denies
- 97170 95852 denies
- 97171 95852 denies
- 97172 95852 denies
- 97530 95852 denies
- 97750 95852 denies
- 98940 95852 denies
- 98941 95852 denies
- 98942 95852 denies
- 99202 95852 denies
- 99203 95852 denies
- 99204 95852 denies
- 99205 95852 denies
- 99211 95852 denies
- 99212 95852 denies
- 99213 95852 denies
- 99214 95852 denies
- 99215 95852 denies
- 99221 95852 denies
- 99222 95852 denies
- 99223 95852 denies
- 99231 95852 denies
- 99232 95852 denies
- 99233 95852 denies
- 99234 95852 denies
- 99235 95852 denies
- 99236 95852 denies
- 99238 95852 denies
- 99239 95852 denies
- 99281 95852 denies
- 99282 95852 denies
- 99283 95852 denies
- 99284 95852 denies
- 99285 95852 denies
- 99291 95852 denies
- 99292 95852 denies
- 99304 95852 denies
- 99305 95852 denies
- 99306 95852 denies
Showing 50 of 87. 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.
- 0591T 95852 denies
- 0592T 95852 denies
- 0593T 95852 denies
- 96020 95852 denies
- 97140 95852 denies
- 99466 95852 denies
- 99467 95852 denies
- 99471 95852 denies
- 99472 95852 denies
- 99475 95852 denies
- 99476 95852 denies
- 99479 95852 denies
- 99485 95852 denies
- 99486 95852 denies
- G0380 95852 denies
- G0381 95852 denies
- G0382 95852 denies
- G0383 95852 denies
- G0384 95852 denies
- G0402 95852 denies
- G0438 95852 denies
- G0439 95852 denies
- G0442 95852 denies
- G0443 95852 denies
- G0444 95852 denies
- G0445 95852 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.