NCCI edits for CPT 95928
CMS lists 653 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 23 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 95928 denies
- 00210 95928 denies
- 00211 95928 denies
- 00212 95928 denies
- 00214 95928 denies
- 00215 95928 denies
- 00216 95928 denies
- 00218 95928 denies
- 00220 95928 denies
- 00222 95928 denies
- 00300 95928 denies
- 00400 95928 denies
- 00600 95928 denies
- 00604 95928 denies
- 00620 95928 denies
- 00625 95928 denies
- 00626 95928 denies
- 00630 95928 denies
- 00632 95928 denies
- 00635 95928 denies
- 00640 95928 denies
- 00670 95928 denies
- 00700 95928 denies
- 00730 95928 denies
- 00800 95928 denies
- 01250 95928 denies
- 01320 95928 denies
- 01470 95928 denies
- 01610 95928 denies
- 01710 95928 denies
- 01810 95928 denies
- 01924 95928 denies
- 01925 95928 denies
- 01926 95928 denies
- 01930 95928 denies
- 01932 95928 denies
- 01933 95928 denies
- 01937 95928 denies
- 01938 95928 denies
- 01939 95928 denies
- 01940 95928 denies
- 01941 95928 denies
- 01942 95928 denies
- 01991 95928 denies
- 01992 95928 denies
- 0200T 95928 denies
- 0201T 95928 denies
- 0202T 95928 denies
- 0213T 95928 denies
- 0214T 95928 denies
Showing 50 of 653. 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.
- 0890T 95928 denies
- 0891T 95928 denies
- 0892T 95928 denies
- 0908T 95928 denies
- 0909T 95928 denies
- 0910T 95928 denies
- 0947T 95928 denies
- 33280 95928 denies
- 33288 95928 denies
- 64466 95928 denies
- 64467 95928 denies
- 64468 95928 denies
- 64469 95928 denies
- 64473 95928 denies
- 64474 95928 denies
- 64615 95928 denies
- 96020 95928 denies
- 99446 99446 denies
- 99447 99447 denies
- 99448 99448 denies
- 99449 99449 denies
- 99451 99451 denies
- 99452 99452 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.