NCCI edits for CPT 00813
CMS lists 305 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 166 pairs with modifier indicator 1, where an NCCI-associated modifier may be allowed when the documentation supports it.
NCCI release: Q3 2026. Source: CMS National Correct Coding Initiative (NCCI) Edits. Complete plain-text list.
Check a paired code Copy link
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, and it is the Column Two code that is denied while Column One is paid.
- 0184T 00813 denies
- 0397T 00813 denies
- 0652T 00813 denies
- 0653T 00813 denies
- 0654T 00813 denies
- 0708T 0708T denies
- 0709T 0709T denies
- 0884T 00813 denies
- 0885T 00813 denies
- 0886T 00813 denies
- 36010 36010 denies
- 36591 36591 denies
- 36592 36592 denies
- 43180 00813 denies
- 43191 00813 denies
- 43192 00813 denies
- 43193 00813 denies
- 43194 00813 denies
- 43195 00813 denies
- 43196 00813 denies
- 43197 00813 denies
- 43198 00813 denies
- 43200 00813 denies
- 43201 00813 denies
- 43202 00813 denies
- 43204 00813 denies
- 43205 00813 denies
- 43206 00813 denies
- 43210 00813 denies
- 43211 00813 denies
- 43212 00813 denies
- 43213 00813 denies
- 43214 00813 denies
- 43215 00813 denies
- 43216 00813 denies
- 43217 00813 denies
- 43220 00813 denies
- 43226 00813 denies
- 43227 00813 denies
- 43229 00813 denies
- 43231 00813 denies
- 43232 00813 denies
- 43233 00813 denies
- 43235 00813 denies
- 43236 00813 denies
- 43237 00813 denies
- 43238 00813 denies
- 43239 00813 denies
- 43240 00813 denies
- 43241 00813 denies
Showing 50 of 305. 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.
- 00731 00731 denies
- 00732 00732 denies
- 00811 00811 denies
- 00812 00812 denies
- 01996 01996 denies
- 0213T 0213T denies
- 0216T 0216T denies
- 0632T 0632T denies
- 0903T 0903T denies
- 0904T 0904T denies
- 0905T 0905T denies
- 31505 31505 denies
- 31515 31515 denies
- 31527 31527 denies
- 31622 31622 denies
- 31634 31634 denies
- 31645 31645 denies
- 31647 31647 denies
- 36000 36000 denies
- 36011 36011 denies
- 36012 36012 denies
- 36013 36013 denies
- 36014 36014 denies
- 36015 36015 denies
- 36400 36400 denies
- 36405 36405 denies
- 36406 36406 denies
- 36410 36410 denies
- 36420 36420 denies
- 36425 36425 denies
- 36430 36430 denies
- 36440 36440 denies
- 36600 36600 denies
- 36640 36640 denies
- 43752 43752 denies
- 43753 43753 denies
- 43754 43754 denies
- 61026 61026 denies
- 61055 61055 denies
- 62280 62280 denies
- 62281 62281 denies
- 62282 62282 denies
- 62284 62284 denies
- 62320 62320 denies
- 62321 62321 denies
- 62322 62322 denies
- 62323 62323 denies
- 62324 62324 denies
- 62325 62325 denies
- 62326 62326 denies
Showing 50 of 166. 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.