NCCI edits for CPT 99380
CMS lists 60 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 130 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 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.
- 0395T 99380 denies
- 0469T 0469T denies
- 0734T 99380 denies
- 36591 36591 denies
- 36592 36592 denies
- 80503 99380 denies
- 80504 99380 denies
- 80505 99380 denies
- 80506 99380 denies
- 90791 99380 denies
- 90792 99380 denies
- 90832 99380 denies
- 90833 99380 denies
- 90834 99380 denies
- 90836 99380 denies
- 90837 99380 denies
- 90838 99380 denies
- 93793 93793 denies
- 94002 94002 denies
- 94003 94003 denies
- 94004 94004 denies
- 94660 94660 denies
- 96127 96127 denies
- 96523 96523 denies
- 98000 98000 denies
- 98001 98001 denies
- 98002 98002 denies
- 98003 98003 denies
- 98004 98004 denies
- 98005 98005 denies
- 98006 98006 denies
- 98007 98007 denies
- 98970 98970 denies
- 98971 98971 denies
- 98972 98972 denies
- 99091 99091 denies
- 99172 99172 denies
- 99421 99421 denies
- 99422 99422 denies
- 99423 99423 denies
- 99424 99424 denies
- 99425 99425 denies
- 99426 99426 denies
- 99427 99427 denies
- 99437 99437 denies
- 99439 99380 denies
- 99452 99452 denies
- 99473 99473 denies
- 99474 99474 denies
- 99484 99380 denies
Showing 50 of 60. 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
- 0944T 99380 denies
- 77261 99380 denies
- 77262 99380 denies
- 77263 99380 denies
- 77280 99380 denies
- 77285 99380 denies
- 77290 99380 denies
- 77293 99380 denies
- 77295 99380 denies
- 77300 99380 denies
- 77301 99380 denies
- 77306 99380 denies
- 77307 99380 denies
- 77316 99380 denies
- 77317 99380 denies
- 77318 99380 denies
- 77321 99380 denies
- 77331 99380 denies
- 77332 99380 denies
- 77333 99380 denies
- 77334 99380 denies
- 77336 99380 denies
- 77338 99380 denies
- 77370 99380 denies
- 77371 99380 denies
- 77372 99380 denies
- 77373 99380 denies
- 77417 99380 denies
- 77423 99380 denies
- 77424 99380 denies
- 77425 99380 denies
- 77427 99380 denies
- 77431 99380 denies
- 77432 99380 denies
- 77435 99380 denies
- 77469 99380 denies
- 77470 99380 denies
- 77520 99380 denies
- 77522 99380 denies
- 77523 99380 denies
- 77525 99380 denies
- 77600 99380 denies
- 77605 99380 denies
- 77610 99380 denies
- 77615 99380 denies
- 77620 99380 denies
- 77750 99380 denies
- 77761 99380 denies
Showing 50 of 130. 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.