NCCI edits for CPT 95863
CMS lists 685 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 60 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.
- 00104 95863 denies
- 00210 95863 denies
- 00211 95863 denies
- 00212 95863 denies
- 00214 95863 denies
- 00215 95863 denies
- 00216 95863 denies
- 00218 95863 denies
- 00220 95863 denies
- 00222 95863 denies
- 00300 95863 denies
- 00400 95863 denies
- 00600 95863 denies
- 00604 95863 denies
- 00620 95863 denies
- 00625 95863 denies
- 00626 95863 denies
- 00630 95863 denies
- 00632 95863 denies
- 00635 95863 denies
- 00640 95863 denies
- 00670 95863 denies
- 00700 95863 denies
- 00730 95863 denies
- 00800 95863 denies
- 01250 95863 denies
- 01320 95863 denies
- 01470 95863 denies
- 01610 95863 denies
- 01710 95863 denies
- 01810 95863 denies
- 01924 95863 denies
- 01925 95863 denies
- 01926 95863 denies
- 01930 95863 denies
- 01932 95863 denies
- 01933 95863 denies
- 01937 95863 denies
- 01938 95863 denies
- 01939 95863 denies
- 01940 95863 denies
- 01941 95863 denies
- 01942 95863 denies
- 01991 95863 denies
- 01992 95863 denies
- 0200T 95863 denies
- 0201T 95863 denies
- 0202T 95863 denies
- 0213T 95863 denies
- 0214T 95863 denies
Showing 50 of 685. 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.
- 0947T 95863 denies
- 33280 95863 denies
- 33288 95863 denies
- 64400 95863 denies
- 64405 95863 denies
- 64408 95863 denies
- 64415 95863 denies
- 64416 95863 denies
- 64417 95863 denies
- 64418 95863 denies
- 64420 95863 denies
- 64421 95863 denies
- 64425 95863 denies
- 64430 95863 denies
- 64435 95863 denies
- 64445 95863 denies
- 64446 95863 denies
- 64447 95863 denies
- 64448 95863 denies
- 64449 95863 denies
- 64450 95863 denies
- 64451 95863 denies
- 64454 95863 denies
- 64455 95863 denies
- 64473 95863 denies
- 64474 95863 denies
- 64479 95863 denies
- 64480 95863 denies
- 64483 95863 denies
- 64484 95863 denies
- 64490 95863 denies
- 64491 95863 denies
- 64492 95863 denies
- 64493 95863 denies
- 64494 95863 denies
- 64495 95863 denies
- 64505 95863 denies
- 64510 95863 denies
- 64517 95863 denies
- 64520 95863 denies
- 64530 95863 denies
- 64615 95863 denies
- 64616 95863 denies
- 90912 95863 denies
- 90913 95863 denies
- 95782 95863 denies
- 95783 95863 denies
- 95808 95863 denies
- 95810 95863 denies
- 95811 95863 denies
Showing 50 of 60. 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.