NCCI edits for CPT 96112
CMS lists 24 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 114 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.
- 0362T 0362T denies
- 0373T 0373T denies
- 36591 36591 denies
- 36592 36592 denies
- 96020 96112 denies
- 96110 96110 denies
- 96127 96127 denies
- 96132 96132 denies
- 96133 96133 denies
- 96136 96136 denies
- 96137 96137 denies
- 96138 96138 denies
- 96146 96146 denies
- 96523 96523 denies
- 97151 97151 denies
- 97152 97152 denies
- 97153 97153 denies
- 97154 97154 denies
- 97155 97155 denies
- 97156 97156 denies
- 97157 97157 denies
- 97158 97158 denies
- G0451 G0451 denies
- G0459 G0459 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.
- 90791 90791 denies
- 90792 90792 denies
- 90832 90832 denies
- 90833 90833 denies
- 90834 90834 denies
- 90836 90836 denies
- 90837 90837 denies
- 90838 90838 denies
- 90839 90839 denies
- 90845 90845 denies
- 90846 90846 denies
- 90847 90847 denies
- 90849 90849 denies
- 90853 90853 denies
- 90865 90865 denies
- 90870 90870 denies
- 90880 90880 denies
- 92002 92002 denies
- 92004 92004 denies
- 92012 92012 denies
- 92014 92014 denies
- 96105 96105 denies
- 96116 96112 denies
- 96121 96112 denies
- 96125 96125 denies
- 96130 96130 denies
- 96131 96131 denies
- 96156 96112 denies
- 96158 96112 denies
- 96159 96112 denies
- 96160 96160 denies
- 96161 96161 denies
- 97161 97161 denies
- 97162 97162 denies
- 97163 97163 denies
- 97164 97164 denies
- 97165 97165 denies
- 97166 97166 denies
- 97167 97167 denies
- 97168 97168 denies
- 99202 99202 denies
- 99203 99203 denies
- 99204 99204 denies
- 99205 99205 denies
- 99211 99211 denies
- 99212 99212 denies
- 99213 99213 denies
- 99214 99214 denies
- 99215 99215 denies
- 99221 99221 denies
Showing 50 of 114. 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.