NCCI edits for CPT 95972
CMS lists 18 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 14 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.
- 0587T 0587T denies
- 0588T 0588T denies
- 0589T 0589T denies
- 0590T 0590T denies
- 0788T 0788T denies
- 0789T 0789T denies
- 0816T 95972 denies
- 0817T 95972 denies
- 0818T 95972 denies
- 0819T 95972 denies
- 0911T 0911T denies
- 36591 36591 denies
- 36592 36592 denies
- 95970 95970 denies
- 95971 95971 denies
- 95976 95976 denies
- 95977 95972 denies
- 96523 96523 denies
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.
NCCI edits are not a coverage determination or a substitute for the current CMS NCCI Policy Manual. Deleted pairs are excluded from this page.