NCCI edits for CPT 95905
CMS lists 11 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 18 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 2 units 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.
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.
- 76883 76883 denies
- 95782 95905 denies
- 95783 95905 denies
- 95808 95905 denies
- 95810 95905 denies
- 95811 95905 denies
- 95885 95885 denies
- 95886 95886 denies
- 95887 95887 denies
- 95907 95905 denies
- 95908 95905 denies
- 95909 95905 denies
- 95910 95905 denies
- 95911 95905 denies
- 95912 95905 denies
- 95913 95905 denies
- 95940 95940 denies
- G0453 G0453 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.