NCCI edits for CPT 99155
CMS lists 6,137 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 61 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.
- 00100 99155 denies
- 00102 99155 denies
- 00103 99155 denies
- 00104 99155 denies
- 00120 99155 denies
- 00124 99155 denies
- 00126 99155 denies
- 00140 99155 denies
- 00142 99155 denies
- 00144 99155 denies
- 00145 99155 denies
- 00147 99155 denies
- 00148 99155 denies
- 00160 99155 denies
- 00162 99155 denies
- 00164 99155 denies
- 00170 99155 denies
- 00172 99155 denies
- 00174 99155 denies
- 00176 99155 denies
- 00190 99155 denies
- 00192 99155 denies
- 00210 99155 denies
- 00211 99155 denies
- 00212 99155 denies
- 00214 99155 denies
- 00215 99155 denies
- 00216 99155 denies
- 00218 99155 denies
- 00220 99155 denies
- 00222 99155 denies
- 00300 99155 denies
- 00320 99155 denies
- 00322 99155 denies
- 00326 99155 denies
- 00350 99155 denies
- 00352 99155 denies
- 00400 99155 denies
- 00402 99155 denies
- 00404 99155 denies
- 00406 99155 denies
- 00410 99155 denies
- 00450 99155 denies
- 00454 99155 denies
- 00470 99155 denies
- 00472 99155 denies
- 00474 99155 denies
- 00500 99155 denies
- 00520 99155 denies
- 00522 99155 denies
Showing 50 of 6,137. 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.
- 0868T 99155 denies
- 0903T 0903T denies
- 0904T 0904T denies
- 0905T 0905T denies
- 31500 99155 denies
- 33288 99155 denies
- 36000 36000 denies
- 36400 36400 denies
- 36405 36405 denies
- 36406 36406 denies
- 36410 36410 denies
- 36420 36420 denies
- 36425 36425 denies
- 36555 99155 denies
- 36556 99155 denies
- 36557 99155 denies
- 36558 99155 denies
- 36560 99155 denies
- 36561 99155 denies
- 36563 99155 denies
- 36565 99155 denies
- 36566 99155 denies
- 36568 99155 denies
- 36569 99155 denies
- 36620 99155 denies
- 36625 99155 denies
- 52284 99155 denies
- 92972 99155 denies
- 93000 93000 denies
- 93005 93005 denies
- 93010 93010 denies
- 93040 93040 denies
- 93041 93041 denies
- 93042 93042 denies
- 93503 99155 denies
- 94762 94762 denies
- 99153 99153 denies
- 99221 99221 denies
- 99222 99222 denies
- 99223 99223 denies
- 99281 99281 denies
- 99282 99282 denies
- 99283 99283 denies
- 99284 99284 denies
- 99285 99285 denies
- 99291 99291 denies
- 99292 99292 denies
- 99468 99468 denies
- 99469 99469 denies
- 99471 99471 denies
Showing 50 of 61. 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.