NCCI edits for CPT 36013
CMS lists 20 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 661 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.
- 0345T 36013 denies
- 0544T 36013 denies
- 0632T 36013 denies
- 33289 36013 denies
- 33418 36013 denies
- 33419 36013 denies
- 36591 36591 denies
- 36592 36592 denies
- 69990 69990 denies
- 93451 36013 denies
- 93453 36013 denies
- 93456 36013 denies
- 93457 36013 denies
- 93460 36013 denies
- 93461 36013 denies
- 93593 36013 denies
- 93594 36013 denies
- 93596 36013 denies
- 93597 36013 denies
- 96523 96523 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 36013 denies
- 00102 36013 denies
- 00103 36013 denies
- 00104 36013 denies
- 00120 36013 denies
- 00124 36013 denies
- 00126 36013 denies
- 00140 36013 denies
- 00142 36013 denies
- 00144 36013 denies
- 00145 36013 denies
- 00147 36013 denies
- 00148 36013 denies
- 00160 36013 denies
- 00162 36013 denies
- 00164 36013 denies
- 00170 36013 denies
- 00172 36013 denies
- 00174 36013 denies
- 00176 36013 denies
- 00190 36013 denies
- 00192 36013 denies
- 00210 36013 denies
- 00211 36013 denies
- 00212 36013 denies
- 00214 36013 denies
- 00215 36013 denies
- 00216 36013 denies
- 00218 36013 denies
- 00220 36013 denies
- 00222 36013 denies
- 00300 36013 denies
- 00320 36013 denies
- 00322 36013 denies
- 00326 36013 denies
- 00350 36013 denies
- 00352 36013 denies
- 00400 36013 denies
- 00402 36013 denies
- 00404 36013 denies
- 00406 36013 denies
- 00410 36013 denies
- 00450 36013 denies
- 00454 36013 denies
- 00470 36013 denies
- 00472 36013 denies
- 00474 36013 denies
- 00500 36013 denies
- 00520 36013 denies
- 00522 36013 denies
Showing 50 of 661. 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.