NCCI edits for CPT 99455
CMS lists 165 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 154 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 99455 denies
- 0469T 0469T denies
- 36591 36591 denies
- 36592 36592 denies
- 77261 99455 denies
- 77262 99455 denies
- 77263 99455 denies
- 77280 99455 denies
- 77285 99455 denies
- 77290 99455 denies
- 77293 99455 denies
- 77295 99455 denies
- 77300 99455 denies
- 77301 99455 denies
- 77306 99455 denies
- 77307 99455 denies
- 77316 99455 denies
- 77317 99455 denies
- 77318 99455 denies
- 77321 99455 denies
- 77331 99455 denies
- 77332 99455 denies
- 77333 99455 denies
- 77334 99455 denies
- 77336 99455 denies
- 77338 99455 denies
- 77370 99455 denies
- 77371 99455 denies
- 77372 99455 denies
- 77373 99455 denies
- 77402 99455 denies
- 77407 99455 denies
- 77412 99455 denies
- 77417 99455 denies
- 77423 99455 denies
- 77424 99455 denies
- 77425 99455 denies
- 77427 99455 denies
- 77431 99455 denies
- 77432 99455 denies
- 77435 99455 denies
- 77469 99455 denies
- 77470 99455 denies
- 77520 99455 denies
- 77522 99455 denies
- 77523 99455 denies
- 77525 99455 denies
- 77600 99455 denies
- 77605 99455 denies
- 77610 99455 denies
Showing 50 of 165. 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
- 0708T 99455 denies
- 0709T 99455 denies
- 0891T 99455 denies
- 0892T 99455 denies
- 90869 99455 denies
- 90951 99455 denies
- 90952 99455 denies
- 90953 99455 denies
- 90954 99455 denies
- 90955 99455 denies
- 90956 99455 denies
- 90957 99455 denies
- 90958 99455 denies
- 90959 99455 denies
- 90960 99455 denies
- 90961 99455 denies
- 90962 99455 denies
- 90963 99455 denies
- 90964 99455 denies
- 90965 99455 denies
- 90966 99455 denies
- 90967 99455 denies
- 90968 99455 denies
- 90969 99455 denies
- 90970 99455 denies
- 93015 99455 denies
- 93016 99455 denies
- 93017 99455 denies
- 93018 99455 denies
- 93598 93598 denies
- 93792 93792 denies
- 95004 99455 denies
- 95012 99455 denies
- 95017 99455 denies
- 95018 99455 denies
- 95024 99455 denies
- 95027 99455 denies
- 95028 99455 denies
- 95044 99455 denies
- 95052 99455 denies
- 95056 99455 denies
- 95060 99455 denies
- 95065 99455 denies
- 95070 99455 denies
- 95076 99455 denies
- 95079 99455 denies
- 95115 99455 denies
- 95117 99455 denies
Showing 50 of 154. 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.