NCCI edits for CPT 96425
CMS lists 19 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 93 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: the Column Two code is denied and the Column One code is paid.
- 36591 36591 denies
- 36592 36592 denies
- 77750 96425 denies
- 96521 96521 denies
- 96522 96522 denies
- 96523 96523 denies
- 99211 99211 denies
- 99231 96425 denies
- 99232 96425 denies
- 99233 96425 denies
- 99307 96425 denies
- 99308 96425 denies
- 99309 96425 denies
- 99310 96425 denies
- 99460 96425 denies
- 99461 96425 denies
- 99462 96425 denies
- 99463 96425 denies
- 99465 96425 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.
- 0708T 0708T denies
- 0709T 0709T denies
- 11900 11900 denies
- 11901 11901 denies
- 36500 36500 denies
- 36823 96425 denies
- 61650 96425 denies
- 61651 96425 denies
- 64450 64450 denies
- 64454 64454 denies
- 64473 64473 denies
- 64474 64474 denies
- 64486 64486 denies
- 64487 64487 denies
- 64488 64488 denies
- 64489 64489 denies
- 75893 75893 denies
- 96360 96360 denies
- 96365 96365 denies
- 96372 96372 denies
- 96374 96374 denies
- 96375 96375 denies
- 96376 96376 denies
- 96377 96377 denies
- 99202 99202 denies
- 99203 99203 denies
- 99204 99204 denies
- 99205 99205 denies
- 99212 99212 denies
- 99213 99213 denies
- 99214 99214 denies
- 99215 99215 denies
- 99221 96425 denies
- 99222 96425 denies
- 99223 96425 denies
- 99234 96425 denies
- 99235 96425 denies
- 99236 96425 denies
- 99238 96425 denies
- 99239 96425 denies
- 99281 96425 denies
- 99282 96425 denies
- 99283 96425 denies
- 99284 96425 denies
- 99285 96425 denies
- 99291 96425 denies
- 99304 96425 denies
- 99305 96425 denies
- 99306 96425 denies
- 99315 96425 denies
Showing 50 of 93. 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.