NCCI edits for CPT 99345
CMS lists 171 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 267 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.
- 00537 99345 denies
- 00550 99345 denies
- 00563 99345 denies
- 00566 99345 denies
- 00625 99345 denies
- 00626 99345 denies
- 00635 99345 denies
- 01112 99345 denies
- 01173 99345 denies
- 01215 99345 denies
- 01937 99345 denies
- 01938 99345 denies
- 01939 99345 denies
- 01940 99345 denies
- 01941 99345 denies
- 01942 99345 denies
- 01951 99345 denies
- 01952 99345 denies
- 01958 99345 denies
- 0395T 99345 denies
- 0469T 0469T denies
- 0944T 99345 denies
- 36591 36591 denies
- 36592 36592 denies
- 77261 99345 denies
- 77262 99345 denies
- 77263 99345 denies
- 77280 99345 denies
- 77285 99345 denies
- 77290 99345 denies
- 77293 99345 denies
- 77295 99345 denies
- 77300 99345 denies
- 77301 99345 denies
- 77306 99345 denies
- 77307 99345 denies
- 77316 99345 denies
- 77317 99345 denies
- 77318 99345 denies
- 77321 99345 denies
- 77331 99345 denies
- 77332 99345 denies
- 77333 99345 denies
- 77334 99345 denies
- 77336 99345 denies
- 77338 99345 denies
- 77370 99345 denies
- 77371 99345 denies
- 77372 99345 denies
- 77373 99345 denies
Showing 50 of 171. 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.
- 0362T 0362T denies
- 0373T 0373T denies
- 0591T 99345 denies
- 0592T 99345 denies
- 0593T 99345 denies
- 0692T 99345 denies
- 0708T 0708T denies
- 0709T 0709T denies
- 0890T 99345 denies
- 0891T 99345 denies
- 0892T 99345 denies
- 11055 99345 denies
- 11056 99345 denies
- 11057 99345 denies
- 11719 99345 denies
- 11720 99345 denies
- 11721 99345 denies
- 36511 99345 denies
- 36512 99345 denies
- 36513 99345 denies
- 36514 99345 denies
- 36516 99345 denies
- 37211 99345 denies
- 37212 99345 denies
- 37213 99345 denies
- 37214 99345 denies
- 38206 99345 denies
- 38225 99345 denies
- 38228 99345 denies
- 43752 43752 denies
- 59400 99345 denies
- 59410 99345 denies
- 59510 99345 denies
- 59515 99345 denies
- 59610 99345 denies
- 59614 99345 denies
- 59618 99345 denies
- 59622 99345 denies
- 61645 99345 denies
- 90846 99345 denies
- 90847 99345 denies
- 90849 99345 denies
- 90853 99345 denies
- 90867 99345 denies
- 90868 99345 denies
- 90869 99345 denies
- 90951 99345 denies
- 90952 99345 denies
- 90953 99345 denies
- 90954 99345 denies
Showing 50 of 267. 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.