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: Q3 2026. Source: CMS National Correct Coding Initiative (NCCI) Edits. Complete plain-text list.
Check a paired code Copy link
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, and it is the Column Two code that is denied while Column One 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.