NCCI edits for CPT 95866
CMS lists 676 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 51 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 95866 denies
- 00210 95866 denies
- 00211 95866 denies
- 00212 95866 denies
- 00214 95866 denies
- 00215 95866 denies
- 00216 95866 denies
- 00218 95866 denies
- 00220 95866 denies
- 00222 95866 denies
- 00300 95866 denies
- 00400 95866 denies
- 00600 95866 denies
- 00604 95866 denies
- 00620 95866 denies
- 00625 95866 denies
- 00626 95866 denies
- 00630 95866 denies
- 00632 95866 denies
- 00635 95866 denies
- 00640 95866 denies
- 00670 95866 denies
- 00700 95866 denies
- 00730 95866 denies
- 00800 95866 denies
- 01250 95866 denies
- 01320 95866 denies
- 01470 95866 denies
- 01610 95866 denies
- 01710 95866 denies
- 01810 95866 denies
- 01924 95866 denies
- 01925 95866 denies
- 01926 95866 denies
- 01930 95866 denies
- 01932 95866 denies
- 01933 95866 denies
- 01937 95866 denies
- 01938 95866 denies
- 01939 95866 denies
- 01940 95866 denies
- 01941 95866 denies
- 01942 95866 denies
- 01991 95866 denies
- 01992 95866 denies
- 0200T 95866 denies
- 0201T 95866 denies
- 0202T 95866 denies
- 0213T 95866 denies
- 0214T 95866 denies
Showing 50 of 676. 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 95866 denies
- 33288 95866 denies
- 64400 95866 denies
- 64405 95866 denies
- 64408 95866 denies
- 64415 95866 denies
- 64416 95866 denies
- 64417 95866 denies
- 64418 95866 denies
- 64420 95866 denies
- 64421 95866 denies
- 64425 95866 denies
- 64430 95866 denies
- 64435 95866 denies
- 64445 95866 denies
- 64446 95866 denies
- 64447 95866 denies
- 64448 95866 denies
- 64449 95866 denies
- 64450 95866 denies
- 64451 95866 denies
- 64454 95866 denies
- 64455 95866 denies
- 64473 95866 denies
- 64474 95866 denies
- 64479 95866 denies
- 64480 95866 denies
- 64483 95866 denies
- 64484 95866 denies
- 64490 95866 denies
- 64491 95866 denies
- 64492 95866 denies
- 64493 95866 denies
- 64494 95866 denies
- 64495 95866 denies
- 64505 95866 denies
- 64510 95866 denies
- 64517 95866 denies
- 64520 95866 denies
- 64530 95866 denies
- 64615 95866 denies
- 64616 95866 denies
- 90901 90901 denies
- 95867 95867 denies
- 95868 95866 denies
- 95870 95870 denies
- 96004 95866 denies
- 96020 95866 denies
- G0398 95866 denies
- G0399 95866 denies
Showing 50 of 51. 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.