NCCI edits for CPT 99423
CMS lists 84 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 146 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 99423 denies
- 0469T 0469T denies
- 0734T 99423 denies
- 36591 36591 denies
- 36592 36592 denies
- 80503 99423 denies
- 80504 99423 denies
- 80505 99423 denies
- 80506 99423 denies
- 90791 99423 denies
- 90792 99423 denies
- 90832 99423 denies
- 90833 99423 denies
- 90834 99423 denies
- 90836 99423 denies
- 90837 99423 denies
- 90838 99423 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 98000 denies
- 98004 98004 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 98967 denies
- 98968 98968 denies
- 99172 99172 denies
- 99202 99423 denies
- 99203 99423 denies
- 99204 99423 denies
- 99205 99423 denies
- 99211 99211 denies
- 99212 99212 denies
- 99213 99423 denies
- 99214 99423 denies
- 99215 99423 denies
- 99242 99423 denies
Showing 50 of 84. 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 99423 denies
- 77261 99423 denies
- 77262 99423 denies
- 77263 99423 denies
- 77280 99423 denies
- 77285 99423 denies
- 77290 99423 denies
- 77293 99423 denies
- 77295 99423 denies
- 77300 99423 denies
- 77301 99423 denies
- 77306 99423 denies
- 77307 99423 denies
- 77316 99423 denies
- 77317 99423 denies
- 77318 99423 denies
- 77321 99423 denies
- 77331 99423 denies
- 77332 99423 denies
- 77333 99423 denies
- 77334 99423 denies
- 77336 99423 denies
- 77338 99423 denies
- 77370 99423 denies
- 77371 99423 denies
- 77372 99423 denies
- 77373 99423 denies
- 77417 99423 denies
- 77423 99423 denies
- 77424 99423 denies
- 77425 99423 denies
- 77427 99423 denies
- 77431 99423 denies
- 77432 99423 denies
- 77435 99423 denies
- 77469 99423 denies
- 77470 99423 denies
- 77520 99423 denies
- 77522 99423 denies
- 77523 99423 denies
- 77525 99423 denies
- 77600 99423 denies
- 77605 99423 denies
- 77610 99423 denies
- 77615 99423 denies
- 77620 99423 denies
- 77750 99423 denies
- 77761 99423 denies
Showing 50 of 146. 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.