NCCI edits for CPT 99222
CMS lists 395 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 5,959 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 99222 denies
- 00102 99222 denies
- 00103 99222 denies
- 00104 99222 denies
- 00120 99222 denies
- 00124 99222 denies
- 00126 99222 denies
- 00140 99222 denies
- 00142 99222 denies
- 00144 99222 denies
- 00145 99222 denies
- 00147 99222 denies
- 00148 99222 denies
- 00160 99222 denies
- 00162 99222 denies
- 00164 99222 denies
- 00170 99222 denies
- 00172 99222 denies
- 00174 99222 denies
- 00176 99222 denies
- 00190 99222 denies
- 00192 99222 denies
- 00210 99222 denies
- 00211 99222 denies
- 00212 99222 denies
- 00214 99222 denies
- 00215 99222 denies
- 00216 99222 denies
- 00218 99222 denies
- 00220 99222 denies
- 00222 99222 denies
- 00300 99222 denies
- 00320 99222 denies
- 00322 99222 denies
- 00326 99222 denies
- 00350 99222 denies
- 00352 99222 denies
- 00400 99222 denies
- 00402 99222 denies
- 00404 99222 denies
- 00406 99222 denies
- 00410 99222 denies
- 00450 99222 denies
- 00454 99222 denies
- 00470 99222 denies
- 00472 99222 denies
- 00474 99222 denies
- 00500 99222 denies
- 00520 99222 denies
- 00522 99222 denies
Showing 50 of 395. 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.
- 0335T 99222 denies
- 0338T 99222 denies
- 0339T 99222 denies
- 0342T 99222 denies
- 0345T 99222 denies
- 0347T 99222 denies
- 0362T 0362T denies
- 0373T 0373T denies
- 0395T 99222 denies
- 0397T 99222 denies
- 0402T 99222 denies
- 0408T 99222 denies
- 0409T 99222 denies
- 0410T 99222 denies
- 0411T 99222 denies
- 0412T 99222 denies
- 0413T 99222 denies
- 0414T 99222 denies
- 0415T 99222 denies
- 0416T 99222 denies
- 0419T 99222 denies
- 0420T 99222 denies
- 0437T 99222 denies
- 0440T 99222 denies
- 0441T 99222 denies
- 0442T 99222 denies
- 0444T 99222 denies
- 0445T 99222 denies
- 0446T 99222 denies
- 0447T 99222 denies
- 0448T 99222 denies
- 0449T 99222 denies
- 0450T 99222 denies
- 0474T 99222 denies
- 0479T 99222 denies
- 0480T 99222 denies
- 0481T 99222 denies
- 0483T 99222 denies
- 0484T 99222 denies
- 0489T 99222 denies
- 0490T 99222 denies
- 0505T 99222 denies
- 0510T 99222 denies
- 0511T 99222 denies
- 0512T 99222 denies
- 0513T 99222 denies
- 0515T 99222 denies
- 0516T 99222 denies
- 0517T 99222 denies
- 0518T 99222 denies
Showing 50 of 5,959. 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.