NCCI edits for CPT 35201
CMS lists 75 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 585 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.
- 0213T 0213T denies
- 0216T 0216T denies
- 0408T 35201 denies
- 0410T 35201 denies
- 0411T 35201 denies
- 0413T 35201 denies
- 0415T 35201 denies
- 0915T 35201 denies
- 0917T 35201 denies
- 0918T 35201 denies
- 36591 35201 denies
- 36592 35201 denies
- 62320 62320 denies
- 62321 62321 denies
- 62322 62322 denies
- 62323 62323 denies
- 62324 62324 denies
- 62325 62325 denies
- 62326 62326 denies
- 62327 62327 denies
- 64400 64400 denies
- 64405 64405 denies
- 64408 64408 denies
- 64415 64415 denies
- 64416 64416 denies
- 64417 64417 denies
- 64418 64418 denies
- 64420 64420 denies
- 64421 64421 denies
- 64425 64425 denies
- 64430 64430 denies
- 64435 64435 denies
- 64445 64445 denies
- 64446 64446 denies
- 64447 64447 denies
- 64448 64448 denies
- 64449 64449 denies
- 64450 64450 denies
- 64451 64451 denies
- 64454 64454 denies
- 64461 64461 denies
- 64462 64462 denies
- 64463 64463 denies
- 64479 64479 denies
- 64480 64480 denies
- 64483 64483 denies
- 64484 64484 denies
- 64486 64486 denies
- 64487 64487 denies
- 64488 64488 denies
Showing 50 of 75. 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.
- 0075T 35201 denies
- 0234T 35201 denies
- 0235T 35201 denies
- 0236T 35201 denies
- 0237T 35201 denies
- 0238T 35201 denies
- 0338T 35201 denies
- 0339T 35201 denies
- 0345T 35201 denies
- 0483T 35201 denies
- 0484T 35201 denies
- 0505T 35201 denies
- 0515T 35201 denies
- 0516T 35201 denies
- 0520T 35201 denies
- 0524T 35201 denies
- 0543T 0543T denies
- 0544T 0544T denies
- 0545T 35201 denies
- 0571T 35201 denies
- 0574T 35201 denies
- 0596T 0596T denies
- 0597T 0597T denies
- 0613T 35201 denies
- 0614T 35201 denies
- 0620T 35201 denies
- 0632T 35201 denies
- 0643T 35201 denies
- 0645T 35201 denies
- 0646T 35201 denies
- 0659T 35201 denies
- 0695T 35201 denies
- 0696T 35201 denies
- 0708T 0708T denies
- 0709T 0709T denies
- 0710T 35201 denies
- 0711T 35201 denies
- 0712T 35201 denies
- 0713T 35201 denies
- 0793T 35201 denies
- 0795T 35201 denies
- 0796T 35201 denies
- 0797T 35201 denies
- 0798T 35201 denies
- 0799T 35201 denies
- 0800T 35201 denies
- 0801T 35201 denies
- 0802T 35201 denies
- 0803T 35201 denies
- 0805T 35201 denies
Showing 50 of 585. 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.