NCCI edits for CPT 99152
CMS lists 364 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 243 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 2 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 99152 denies
- 00102 99152 denies
- 00103 99152 denies
- 00104 99152 denies
- 00120 99152 denies
- 00124 99152 denies
- 00126 99152 denies
- 00140 99152 denies
- 00142 99152 denies
- 00144 99152 denies
- 00145 99152 denies
- 00147 99152 denies
- 00148 99152 denies
- 00160 99152 denies
- 00162 99152 denies
- 00164 99152 denies
- 00170 99152 denies
- 00172 99152 denies
- 00174 99152 denies
- 00176 99152 denies
- 00190 99152 denies
- 00192 99152 denies
- 00210 99152 denies
- 00211 99152 denies
- 00212 99152 denies
- 00214 99152 denies
- 00215 99152 denies
- 00216 99152 denies
- 00218 99152 denies
- 00220 99152 denies
- 00222 99152 denies
- 00300 99152 denies
- 00320 99152 denies
- 00322 99152 denies
- 00326 99152 denies
- 00350 99152 denies
- 00352 99152 denies
- 00400 99152 denies
- 00402 99152 denies
- 00404 99152 denies
- 00406 99152 denies
- 00410 99152 denies
- 00450 99152 denies
- 00454 99152 denies
- 00470 99152 denies
- 00472 99152 denies
- 00474 99152 denies
- 00500 99152 denies
- 00520 99152 denies
- 00522 99152 denies
Showing 50 of 364. 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.
- 0652T 99152 denies
- 0653T 99152 denies
- 0654T 99152 denies
- 0708T 0708T denies
- 0709T 0709T denies
- 0885T 99152 denies
- 0903T 0903T denies
- 0904T 0904T denies
- 0905T 0905T denies
- 36000 36000 denies
- 36400 36400 denies
- 36405 36405 denies
- 36406 36406 denies
- 36410 36410 denies
- 36420 36420 denies
- 36425 36425 denies
- 43200 99152 denies
- 43201 99152 denies
- 43202 99152 denies
- 43204 99152 denies
- 43205 99152 denies
- 43206 99152 denies
- 43211 99152 denies
- 43212 99152 denies
- 43213 99152 denies
- 43214 99152 denies
- 43215 99152 denies
- 43216 99152 denies
- 43217 99152 denies
- 43220 99152 denies
- 43226 99152 denies
- 43227 99152 denies
- 43229 99152 denies
- 43231 99152 denies
- 43232 99152 denies
- 43233 99152 denies
- 43235 99152 denies
- 43236 99152 denies
- 43237 99152 denies
- 43238 99152 denies
- 43239 99152 denies
- 43240 99152 denies
- 43241 99152 denies
- 43242 99152 denies
- 43243 99152 denies
- 43244 99152 denies
- 43245 99152 denies
- 43246 99152 denies
- 43247 99152 denies
- 43248 99152 denies
Showing 50 of 243. 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.