NCCI edits for CPT 99415
CMS lists 395 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 135 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 99415 denies
- 00102 99415 denies
- 00103 99415 denies
- 00104 99415 denies
- 00120 99415 denies
- 00124 99415 denies
- 00126 99415 denies
- 00140 99415 denies
- 00142 99415 denies
- 00144 99415 denies
- 00145 99415 denies
- 00147 99415 denies
- 00148 99415 denies
- 00160 99415 denies
- 00162 99415 denies
- 00164 99415 denies
- 00170 99415 denies
- 00172 99415 denies
- 00174 99415 denies
- 00176 99415 denies
- 00190 99415 denies
- 00192 99415 denies
- 00210 99415 denies
- 00211 99415 denies
- 00212 99415 denies
- 00214 99415 denies
- 00215 99415 denies
- 00216 99415 denies
- 00218 99415 denies
- 00220 99415 denies
- 00222 99415 denies
- 00300 99415 denies
- 00320 99415 denies
- 00322 99415 denies
- 00326 99415 denies
- 00350 99415 denies
- 00352 99415 denies
- 00400 99415 denies
- 00402 99415 denies
- 00404 99415 denies
- 00406 99415 denies
- 00410 99415 denies
- 00450 99415 denies
- 00454 99415 denies
- 00470 99415 denies
- 00472 99415 denies
- 00474 99415 denies
- 00500 99415 denies
- 00520 99415 denies
- 00522 99415 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.
- 0362T 0362T denies
- 0373T 0373T denies
- 11719 99415 denies
- 11720 99415 denies
- 11721 99415 denies
- 37211 99415 denies
- 37212 99415 denies
- 37213 99415 denies
- 37214 99415 denies
- 43752 43752 denies
- 61645 99415 denies
- 77469 99415 denies
- 77767 99415 denies
- 77768 99415 denies
- 90846 99415 denies
- 90847 99415 denies
- 90849 99415 denies
- 90853 99415 denies
- 90869 99415 denies
- 90951 99415 denies
- 90952 99415 denies
- 90953 99415 denies
- 90954 99415 denies
- 90955 99415 denies
- 90956 99415 denies
- 90957 99415 denies
- 90958 99415 denies
- 90959 99415 denies
- 90960 99415 denies
- 90961 99415 denies
- 90962 99415 denies
- 90963 99415 denies
- 90964 99415 denies
- 90965 99415 denies
- 90966 99415 denies
- 90967 99415 denies
- 90968 99415 denies
- 90969 99415 denies
- 90970 99415 denies
- 93598 93598 denies
- 93792 93792 denies
- 95004 99415 denies
- 95012 99415 denies
- 95017 99415 denies
- 95018 99415 denies
- 95024 99415 denies
- 95027 99415 denies
- 95028 99415 denies
- 95044 99415 denies
- 95052 99415 denies
Showing 50 of 135. 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.