NCCI edits for CPT 96375
CMS lists 276 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 6,096 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 6 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.
- 00100 96375 denies
- 00102 96375 denies
- 00103 96375 denies
- 00104 96375 denies
- 00120 96375 denies
- 00124 96375 denies
- 00126 96375 denies
- 00140 96375 denies
- 00142 96375 denies
- 00144 96375 denies
- 00145 96375 denies
- 00147 96375 denies
- 00148 96375 denies
- 00160 96375 denies
- 00162 96375 denies
- 00164 96375 denies
- 00170 96375 denies
- 00172 96375 denies
- 00174 96375 denies
- 00176 96375 denies
- 00190 96375 denies
- 00192 96375 denies
- 00210 96375 denies
- 00211 96375 denies
- 00212 96375 denies
- 00214 96375 denies
- 00215 96375 denies
- 00216 96375 denies
- 00218 96375 denies
- 00220 96375 denies
- 00222 96375 denies
- 00300 96375 denies
- 00320 96375 denies
- 00322 96375 denies
- 00326 96375 denies
- 00350 96375 denies
- 00352 96375 denies
- 00400 96375 denies
- 00402 96375 denies
- 00404 96375 denies
- 00406 96375 denies
- 00410 96375 denies
- 00450 96375 denies
- 00454 96375 denies
- 00470 96375 denies
- 00472 96375 denies
- 00474 96375 denies
- 00500 96375 denies
- 00520 96375 denies
- 00522 96375 denies
Showing 50 of 276. 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.
- 0054T 96375 denies
- 0055T 96375 denies
- 0071T 96375 denies
- 0072T 96375 denies
- 0075T 96375 denies
- 0100T 96375 denies
- 0101T 96375 denies
- 0102T 96375 denies
- 0184T 96375 denies
- 0200T 96375 denies
- 0201T 96375 denies
- 0202T 96375 denies
- 0207T 96375 denies
- 0213T 96375 denies
- 0216T 96375 denies
- 0219T 96375 denies
- 0220T 96375 denies
- 0221T 96375 denies
- 0234T 96375 denies
- 0235T 96375 denies
- 0236T 96375 denies
- 0237T 96375 denies
- 0238T 96375 denies
- 0253T 96375 denies
- 0263T 96375 denies
- 0265T 96375 denies
- 0274T 96375 denies
- 0308T 96375 denies
- 0331T 96375 denies
- 0332T 96375 denies
- 0335T 96375 denies
- 0338T 96375 denies
- 0339T 96375 denies
- 0342T 96375 denies
- 0345T 96375 denies
- 0347T 96375 denies
- 0395T 96375 denies
- 0397T 96375 denies
- 0402T 96375 denies
- 0408T 96375 denies
- 0409T 96375 denies
- 0410T 96375 denies
- 0411T 96375 denies
- 0412T 96375 denies
- 0413T 96375 denies
- 0414T 96375 denies
- 0415T 96375 denies
- 0416T 96375 denies
- 0419T 96375 denies
- 0420T 96375 denies
Showing 50 of 6,096. 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.