NCCI edits for CPT 96105
CMS lists 15 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 97 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 3 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.
- 92521 96105 denies
- 92522 96105 denies
- 92523 96105 denies
- 92524 96105 denies
- 96110 96110 denies
- 96112 96105 denies
- 96116 96105 denies
- 96121 96105 denies
- 96125 96125 denies
- 96156 96105 denies
- 96158 96105 denies
- 96159 96105 denies
- 96160 96160 denies
- 96161 96161 denies
- 97161 96105 denies
- 97162 96105 denies
- 97163 96105 denies
- 97164 96105 denies
- 97165 96105 denies
- 97166 96105 denies
- 97167 96105 denies
- 97168 96105 denies
- 99202 96105 denies
- 99203 96105 denies
- 99204 96105 denies
- 99205 96105 denies
- 99211 96105 denies
- 99212 96105 denies
- 99213 96105 denies
- 99214 96105 denies
- 99215 96105 denies
- 99221 96105 denies
- 99222 96105 denies
- 99223 96105 denies
- 99231 96105 denies
- 99232 96105 denies
- 99233 96105 denies
- 99234 96105 denies
- 99235 96105 denies
- 99236 96105 denies
- 99238 96105 denies
- 99239 96105 denies
- 99281 96105 denies
- 99282 96105 denies
- 99283 96105 denies
- 99284 96105 denies
- 99285 96105 denies
- 99291 96105 denies
- 99304 96105 denies
- 99305 96105 denies
Showing 50 of 97. 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.