NCCI edits for CPT 99234
CMS lists 387 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 5,945 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 99234 denies
- 00102 99234 denies
- 00103 99234 denies
- 00104 99234 denies
- 00120 99234 denies
- 00124 99234 denies
- 00126 99234 denies
- 00140 99234 denies
- 00142 99234 denies
- 00144 99234 denies
- 00145 99234 denies
- 00147 99234 denies
- 00148 99234 denies
- 00160 99234 denies
- 00162 99234 denies
- 00164 99234 denies
- 00170 99234 denies
- 00172 99234 denies
- 00174 99234 denies
- 00176 99234 denies
- 00190 99234 denies
- 00192 99234 denies
- 00210 99234 denies
- 00211 99234 denies
- 00212 99234 denies
- 00214 99234 denies
- 00215 99234 denies
- 00216 99234 denies
- 00218 99234 denies
- 00220 99234 denies
- 00222 99234 denies
- 00300 99234 denies
- 00320 99234 denies
- 00322 99234 denies
- 00326 99234 denies
- 00350 99234 denies
- 00352 99234 denies
- 00400 99234 denies
- 00402 99234 denies
- 00404 99234 denies
- 00406 99234 denies
- 00410 99234 denies
- 00450 99234 denies
- 00454 99234 denies
- 00470 99234 denies
- 00472 99234 denies
- 00474 99234 denies
- 00500 99234 denies
- 00520 99234 denies
- 00522 99234 denies
Showing 50 of 387. 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 99234 denies
- 0338T 99234 denies
- 0339T 99234 denies
- 0342T 99234 denies
- 0345T 99234 denies
- 0347T 99234 denies
- 0362T 0362T denies
- 0373T 0373T denies
- 0395T 99234 denies
- 0397T 99234 denies
- 0402T 99234 denies
- 0408T 99234 denies
- 0409T 99234 denies
- 0410T 99234 denies
- 0411T 99234 denies
- 0412T 99234 denies
- 0413T 99234 denies
- 0414T 99234 denies
- 0415T 99234 denies
- 0416T 99234 denies
- 0419T 99234 denies
- 0420T 99234 denies
- 0437T 99234 denies
- 0440T 99234 denies
- 0441T 99234 denies
- 0442T 99234 denies
- 0444T 99234 denies
- 0445T 99234 denies
- 0446T 99234 denies
- 0447T 99234 denies
- 0448T 99234 denies
- 0449T 99234 denies
- 0450T 99234 denies
- 0474T 99234 denies
- 0479T 99234 denies
- 0480T 99234 denies
- 0481T 99234 denies
- 0483T 99234 denies
- 0484T 99234 denies
- 0489T 99234 denies
- 0490T 99234 denies
- 0505T 99234 denies
- 0510T 99234 denies
- 0511T 99234 denies
- 0512T 99234 denies
- 0513T 99234 denies
- 0515T 99234 denies
- 0516T 99234 denies
- 0517T 99234 denies
- 0518T 99234 denies
Showing 50 of 5,945. 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.