NCCI edits for CPT 99425
CMS lists 45 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 25 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 2 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.
- 0733T 99425 denies
- 0734T 99425 denies
- 36591 36591 denies
- 36592 36592 denies
- 90951 99425 denies
- 90952 99425 denies
- 90953 99425 denies
- 90954 99425 denies
- 90955 99425 denies
- 90956 99425 denies
- 90957 99425 denies
- 90958 99425 denies
- 90959 99425 denies
- 90960 90960 denies
- 90961 90961 denies
- 90962 90962 denies
- 90963 90963 denies
- 90964 90964 denies
- 90965 90965 denies
- 90966 90966 denies
- 90967 90967 denies
- 90968 90968 denies
- 90969 90969 denies
- 90970 90970 denies
- 96523 96523 denies
- 98978 99425 denies
- 99366 99366 denies
- 99367 99367 denies
- 99368 99368 denies
- 99374 99425 denies
- 99375 99425 denies
- 99377 99425 denies
- 99378 99425 denies
- 99379 99425 denies
- 99380 99425 denies
- 99426 99426 denies
- 99427 99427 denies
- 99437 99437 denies
- 99439 99439 denies
- 99473 99473 denies
- 99474 99474 denies
- 99487 99425 denies
- 99489 99425 denies
- 99490 99425 denies
- 99491 99425 denies
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.
- 93792 99425 denies
- 93793 99425 denies
- 98960 99425 denies
- 98961 99425 denies
- 98962 99425 denies
- 98966 99425 denies
- 98967 99425 denies
- 98968 99425 denies
- 98970 99425 denies
- 98971 99425 denies
- 98972 99425 denies
- 99071 99425 denies
- 99078 99425 denies
- 99080 99425 denies
- 99091 99425 denies
- 99358 99425 denies
- 99359 99425 denies
- 99418 99425 denies
- 99421 99421 denies
- 99422 99422 denies
- 99423 99423 denies
- 99484 99425 denies
- 99605 99425 denies
- 99606 99425 denies
- 99607 99425 denies
NCCI edits are not a coverage determination or a substitute for the current CMS NCCI Policy Manual. Deleted pairs are excluded from this page.