NCCI edits for CPT 36012
CMS lists 13 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 662 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.
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 36012 denies
- 00102 36012 denies
- 00103 36012 denies
- 00104 36012 denies
- 00120 36012 denies
- 00124 36012 denies
- 00126 36012 denies
- 00140 36012 denies
- 00142 36012 denies
- 00144 36012 denies
- 00145 36012 denies
- 00147 36012 denies
- 00148 36012 denies
- 00160 36012 denies
- 00162 36012 denies
- 00164 36012 denies
- 00170 36012 denies
- 00172 36012 denies
- 00174 36012 denies
- 00176 36012 denies
- 00190 36012 denies
- 00192 36012 denies
- 00210 36012 denies
- 00211 36012 denies
- 00212 36012 denies
- 00214 36012 denies
- 00215 36012 denies
- 00216 36012 denies
- 00218 36012 denies
- 00220 36012 denies
- 00222 36012 denies
- 00300 36012 denies
- 00320 36012 denies
- 00322 36012 denies
- 00326 36012 denies
- 00350 36012 denies
- 00352 36012 denies
- 00400 36012 denies
- 00402 36012 denies
- 00404 36012 denies
- 00406 36012 denies
- 00410 36012 denies
- 00450 36012 denies
- 00454 36012 denies
- 00470 36012 denies
- 00472 36012 denies
- 00474 36012 denies
- 00500 36012 denies
- 00520 36012 denies
- 00522 36012 denies
Showing 50 of 662. 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.