NCCI edits for CPT 36000
CMS lists 18 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 6,576 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 4 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.
- 0602T 36000 denies
- 0603T 36000 denies
- 0884T 36000 denies
- 0886T 36000 denies
- 36591 36591 denies
- 36592 36592 denies
- 69990 69990 denies
- 96523 96523 denies
- 99469 36000 denies
- 99471 36000 denies
- 99472 36000 denies
- 99475 36000 denies
- 99476 36000 denies
- 99477 36000 denies
- 99478 36000 denies
- 99479 36000 denies
- 99480 36000 denies
- G0471 36000 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.
- 00100 36000 denies
- 00102 36000 denies
- 00103 36000 denies
- 00104 36000 denies
- 00120 36000 denies
- 00124 36000 denies
- 00126 36000 denies
- 00140 36000 denies
- 00142 36000 denies
- 00144 36000 denies
- 00145 36000 denies
- 00147 36000 denies
- 00148 36000 denies
- 00160 36000 denies
- 00162 36000 denies
- 00164 36000 denies
- 00170 36000 denies
- 00172 36000 denies
- 00174 36000 denies
- 00176 36000 denies
- 00190 36000 denies
- 00192 36000 denies
- 00210 36000 denies
- 00211 36000 denies
- 00212 36000 denies
- 00214 36000 denies
- 00215 36000 denies
- 00216 36000 denies
- 00218 36000 denies
- 00220 36000 denies
- 00222 36000 denies
- 00300 36000 denies
- 00320 36000 denies
- 00322 36000 denies
- 00326 36000 denies
- 00350 36000 denies
- 00352 36000 denies
- 00400 36000 denies
- 00402 36000 denies
- 00404 36000 denies
- 00406 36000 denies
- 00410 36000 denies
- 00450 36000 denies
- 00454 36000 denies
- 00470 36000 denies
- 00472 36000 denies
- 00474 36000 denies
- 00500 36000 denies
- 00520 36000 denies
- 00522 36000 denies
Showing 50 of 6,576. 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.