NCCI edits for CPT 96522
CMS lists 16 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 116 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.
- 36591 36591 denies
- 36592 36592 denies
- 49010 49010 denies
- 96416 96522 denies
- 96425 96522 denies
- 96523 96523 denies
- 99211 99211 denies
- 99231 99231 denies
- 99232 99232 denies
- 99233 99233 denies
- 99307 99307 denies
- 99308 99308 denies
- 99309 99309 denies
- 99310 99310 denies
- C8957 96522 denies
- G0498 96522 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 96522 denies
- 0709T 96522 denies
- 36260 96522 denies
- 36261 96522 denies
- 36560 96522 denies
- 36561 96522 denies
- 36563 96522 denies
- 36566 96522 denies
- 36570 96522 denies
- 36571 96522 denies
- 61215 96522 denies
- 62324 96522 denies
- 62325 96522 denies
- 62326 96522 denies
- 62327 96522 denies
- 62350 96522 denies
- 62351 96522 denies
- 62360 96522 denies
- 62361 96522 denies
- 62362 96522 denies
- 62367 96522 denies
- 62368 96522 denies
- 62370 96522 denies
- 77402 77402 denies
- 77407 77407 denies
- 77412 77412 denies
- 77423 77423 denies
- 95990 95990 denies
- 95991 95991 denies
- 96401 96522 denies
- 96402 96522 denies
- 96405 96522 denies
- 96406 96522 denies
- 96409 96522 denies
- 96413 96522 denies
- 96420 96522 denies
- 96422 96522 denies
- 96423 96522 denies
- 96440 96522 denies
- 96446 96522 denies
- 96450 96522 denies
- 96542 96522 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
Showing 50 of 116. 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.