NCCI edits for CPT 98975
CMS lists 102 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 30 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.
- 0378T 98975 denies
- 0379T 98975 denies
- 0578T 98975 denies
- 0579T 98975 denies
- 0734T 98975 denies
- 0740T 98975 denies
- 36591 36591 denies
- 36592 36592 denies
- 93224 98975 denies
- 93225 98975 denies
- 93226 98975 denies
- 93227 98975 denies
- 93228 98975 denies
- 93229 98975 denies
- 93241 93241 denies
- 93242 93242 denies
- 93243 93243 denies
- 93244 93244 denies
- 93245 93245 denies
- 93246 93246 denies
- 93247 93247 denies
- 93248 93248 denies
- 93264 98975 denies
- 93268 98975 denies
- 93270 98975 denies
- 93271 98975 denies
- 93272 98975 denies
- 93293 98975 denies
- 93294 98975 denies
- 93295 98975 denies
- 93297 98975 denies
- 93298 98975 denies
- 93745 98975 denies
- 93784 98975 denies
- 93786 98975 denies
- 93788 98975 denies
- 93790 98975 denies
- 93792 98975 denies
- 94014 98975 denies
- 94015 98975 denies
- 94761 98975 denies
- 94762 98975 denies
- 94774 98975 denies
- 94775 98975 denies
- 94776 98975 denies
- 94777 98975 denies
- 95249 98975 denies
- 95251 98975 denies
- 95700 98975 denies
- 95705 98975 denies
Showing 50 of 102. 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.
- 0604T 98975 denies
- 0605T 98975 denies
- 0606T 98975 denies
- 0733T 98975 denies
- 0928T 98975 denies
- 0929T 98975 denies
- 0934T 98975 denies
- 0937T 0937T denies
- 0938T 0938T denies
- 0939T 0939T denies
- 0940T 0940T denies
- 93296 98975 denies
- 94760 98975 denies
- 95250 98975 denies
- 99202 98975 denies
- 99203 98975 denies
- 99204 98975 denies
- 99205 98975 denies
- 99211 98975 denies
- 99212 98975 denies
- 99213 98975 denies
- 99214 98975 denies
- 99215 98975 denies
- 99242 98975 denies
- 99243 98975 denies
- 99244 98975 denies
- 99245 98975 denies
- 99453 98975 denies
- 99454 98975 denies
- G0463 98975 denies
NCCI edits are not a coverage determination or a substitute for the current CMS NCCI Policy Manual. Deleted pairs are excluded from this page.