NCCI edits for CPT 99172
CMS lists 168 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 1 pair 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 0 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.
- 0469T 0469T denies
- 0591T 99172 denies
- 0592T 99172 denies
- 0593T 99172 denies
- 0734T 99172 denies
- 0776T 99172 denies
- 33871 99172 denies
- 36591 36591 denies
- 36592 36592 denies
- 92002 99172 denies
- 92004 99172 denies
- 92012 99172 denies
- 92014 99172 denies
- 96160 99172 denies
- 96161 99172 denies
- 96523 96523 denies
- 98000 99172 denies
- 98001 99172 denies
- 98002 99172 denies
- 98003 99172 denies
- 98004 99172 denies
- 98005 99172 denies
- 98006 99172 denies
- 98007 99172 denies
- 98008 99172 denies
- 98009 99172 denies
- 98010 99172 denies
- 98011 99172 denies
- 98012 99172 denies
- 98013 99172 denies
- 98014 99172 denies
- 98015 99172 denies
- 98016 99172 denies
- 99173 99173 denies
- 99174 99172 denies
- 99177 99172 denies
- 99184 99172 denies
- 99202 99172 denies
- 99203 99172 denies
- 99204 99172 denies
- 99205 99172 denies
- 99211 99172 denies
- 99212 99172 denies
- 99213 99172 denies
- 99214 99172 denies
- 99215 99172 denies
- 99221 99172 denies
- 99222 99172 denies
- 99223 99172 denies
- 99231 99172 denies
Showing 50 of 168. 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.
- 99498 99172 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.