NCCI edits for CPT 95869
CMS lists 682 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 57 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.
- 00104 95869 denies
- 00210 95869 denies
- 00211 95869 denies
- 00212 95869 denies
- 00214 95869 denies
- 00215 95869 denies
- 00216 95869 denies
- 00218 95869 denies
- 00220 95869 denies
- 00222 95869 denies
- 00300 95869 denies
- 00400 95869 denies
- 00600 95869 denies
- 00604 95869 denies
- 00620 95869 denies
- 00625 95869 denies
- 00626 95869 denies
- 00630 95869 denies
- 00632 95869 denies
- 00635 95869 denies
- 00640 95869 denies
- 00670 95869 denies
- 00700 95869 denies
- 00730 95869 denies
- 00800 95869 denies
- 01250 95869 denies
- 01320 95869 denies
- 01470 95869 denies
- 01610 95869 denies
- 01710 95869 denies
- 01810 95869 denies
- 01924 95869 denies
- 01925 95869 denies
- 01926 95869 denies
- 01930 95869 denies
- 01932 95869 denies
- 01933 95869 denies
- 01937 95869 denies
- 01938 95869 denies
- 01939 95869 denies
- 01940 95869 denies
- 01941 95869 denies
- 01942 95869 denies
- 01991 95869 denies
- 01992 95869 denies
- 0200T 95869 denies
- 0201T 95869 denies
- 0202T 95869 denies
- 0213T 95869 denies
- 0214T 95869 denies
Showing 50 of 682. 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.
- 33280 95869 denies
- 33288 95869 denies
- 64400 95869 denies
- 64405 95869 denies
- 64408 95869 denies
- 64415 95869 denies
- 64416 95869 denies
- 64417 95869 denies
- 64418 95869 denies
- 64420 95869 denies
- 64421 95869 denies
- 64425 95869 denies
- 64430 95869 denies
- 64435 95869 denies
- 64445 95869 denies
- 64446 95869 denies
- 64447 95869 denies
- 64448 95869 denies
- 64449 95869 denies
- 64450 95869 denies
- 64451 95869 denies
- 64454 95869 denies
- 64455 95869 denies
- 64473 95869 denies
- 64474 95869 denies
- 64479 95869 denies
- 64480 95869 denies
- 64483 95869 denies
- 64484 95869 denies
- 64490 95869 denies
- 64491 95869 denies
- 64492 95869 denies
- 64493 95869 denies
- 64494 95869 denies
- 64495 95869 denies
- 64505 95869 denies
- 64510 95869 denies
- 64517 95869 denies
- 64520 95869 denies
- 64530 95869 denies
- 64616 95869 denies
- 90901 90901 denies
- 90912 95869 denies
- 90913 95869 denies
- 95860 95869 denies
- 95861 95869 denies
- 95863 95869 denies
- 95864 95869 denies
- 95867 95869 denies
- 95868 95869 denies
Showing 50 of 57. 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.