NCCI edits for CPT 99421
CMS lists 94 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 144 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.
- 0395T 99421 denies
- 0469T 0469T denies
- 0734T 99421 denies
- 36591 36591 denies
- 36592 36592 denies
- 80503 99421 denies
- 80504 99421 denies
- 80505 99421 denies
- 80506 99421 denies
- 90791 99421 denies
- 90792 99421 denies
- 90832 99421 denies
- 90833 99421 denies
- 90834 99421 denies
- 90836 99421 denies
- 90837 99421 denies
- 90838 99421 denies
- 93792 93792 denies
- 93793 93793 denies
- 94002 94002 denies
- 94003 94003 denies
- 94004 94004 denies
- 94660 94660 denies
- 96127 96127 denies
- 96523 96523 denies
- 98000 99421 denies
- 98001 99421 denies
- 98002 99421 denies
- 98003 99421 denies
- 98004 99421 denies
- 98005 99421 denies
- 98006 99421 denies
- 98007 99421 denies
- 98008 98008 denies
- 98009 98009 denies
- 98010 98010 denies
- 98011 98011 denies
- 98012 98012 denies
- 98013 98013 denies
- 98014 98014 denies
- 98015 98015 denies
- 98016 98016 denies
- 98966 98966 denies
- 98967 99421 denies
- 98968 99421 denies
- 99172 99172 denies
- 99202 99421 denies
- 99203 99421 denies
- 99204 99421 denies
- 99205 99421 denies
Showing 50 of 94. 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 99421 denies
- 77261 99421 denies
- 77262 99421 denies
- 77263 99421 denies
- 77280 99421 denies
- 77285 99421 denies
- 77290 99421 denies
- 77293 99421 denies
- 77295 99421 denies
- 77300 99421 denies
- 77301 99421 denies
- 77306 99421 denies
- 77307 99421 denies
- 77316 99421 denies
- 77317 99421 denies
- 77318 99421 denies
- 77321 99421 denies
- 77331 99421 denies
- 77332 99421 denies
- 77333 99421 denies
- 77334 99421 denies
- 77336 99421 denies
- 77338 99421 denies
- 77370 99421 denies
- 77371 99421 denies
- 77372 99421 denies
- 77373 99421 denies
- 77417 99421 denies
- 77423 99421 denies
- 77424 99421 denies
- 77425 99421 denies
- 77427 99421 denies
- 77431 99421 denies
- 77432 99421 denies
- 77435 99421 denies
- 77469 99421 denies
- 77470 99421 denies
- 77520 99421 denies
- 77522 99421 denies
- 77523 99421 denies
- 77525 99421 denies
- 77600 99421 denies
- 77605 99421 denies
- 77610 99421 denies
- 77615 99421 denies
- 77620 99421 denies
- 77750 99421 denies
- 77761 99421 denies
Showing 50 of 144. 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.