NCCI edits for CPT 95958
CMS lists 10 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 30 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.
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.
- 95700 95700 denies
- 95705 95705 denies
- 95706 95706 denies
- 95707 95707 denies
- 95708 95708 denies
- 95709 95709 denies
- 95710 95710 denies
- 95711 95711 denies
- 95712 95712 denies
- 95713 95713 denies
- 95714 95714 denies
- 95715 95715 denies
- 95716 95716 denies
- 95717 95717 denies
- 95718 95718 denies
- 95719 95719 denies
- 95720 95720 denies
- 95721 95721 denies
- 95722 95722 denies
- 95723 95723 denies
- 95724 95724 denies
- 95725 95725 denies
- 95726 95726 denies
- 95812 95812 denies
- 95813 95813 denies
- 95940 95940 denies
- G0398 95958 denies
- G0399 95958 denies
- G0400 95958 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.