NCCI edits for CPT 95867
CMS lists 668 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 62 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 95867 denies
- 00210 95867 denies
- 00211 95867 denies
- 00212 95867 denies
- 00214 95867 denies
- 00215 95867 denies
- 00216 95867 denies
- 00218 95867 denies
- 00220 95867 denies
- 00222 95867 denies
- 00300 95867 denies
- 00400 95867 denies
- 00600 95867 denies
- 00604 95867 denies
- 00620 95867 denies
- 00625 95867 denies
- 00626 95867 denies
- 00630 95867 denies
- 00632 95867 denies
- 00635 95867 denies
- 00640 95867 denies
- 00670 95867 denies
- 00700 95867 denies
- 00730 95867 denies
- 00800 95867 denies
- 01250 95867 denies
- 01320 95867 denies
- 01470 95867 denies
- 01610 95867 denies
- 01710 95867 denies
- 01810 95867 denies
- 01924 95867 denies
- 01925 95867 denies
- 01926 95867 denies
- 01930 95867 denies
- 01932 95867 denies
- 01933 95867 denies
- 01937 95867 denies
- 01938 95867 denies
- 01939 95867 denies
- 01940 95867 denies
- 01941 95867 denies
- 01942 95867 denies
- 01991 95867 denies
- 01992 95867 denies
- 0200T 95867 denies
- 0201T 95867 denies
- 0202T 95867 denies
- 0213T 95867 denies
- 0214T 95867 denies
Showing 50 of 668. 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.
- 0889T 95867 denies
- 0947T 95867 denies
- 33280 95867 denies
- 33288 95867 denies
- 51784 95867 denies
- 51785 95867 denies
- 64400 95867 denies
- 64405 95867 denies
- 64408 95867 denies
- 64415 95867 denies
- 64416 95867 denies
- 64417 95867 denies
- 64418 95867 denies
- 64420 95867 denies
- 64421 95867 denies
- 64425 95867 denies
- 64430 95867 denies
- 64435 95867 denies
- 64445 95867 denies
- 64446 95867 denies
- 64447 95867 denies
- 64448 95867 denies
- 64449 95867 denies
- 64450 95867 denies
- 64451 95867 denies
- 64454 95867 denies
- 64455 95867 denies
- 64466 95867 denies
- 64467 95867 denies
- 64468 95867 denies
- 64469 95867 denies
- 64473 95867 denies
- 64474 95867 denies
- 64490 95867 denies
- 64491 95867 denies
- 64492 95867 denies
- 64493 95867 denies
- 64494 95867 denies
- 64495 95867 denies
- 64505 95867 denies
- 64510 95867 denies
- 64517 95867 denies
- 64520 95867 denies
- 64530 95867 denies
- 64615 95867 denies
- 64616 95867 denies
- 90912 95867 denies
- 90913 95867 denies
- 92265 95867 denies
- 95782 95867 denies
Showing 50 of 62. 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.