NCCI edits for CPT 36100
CMS lists 7 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 58 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.
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 36100 denies
- 0345T 36100 denies
- 0483T 36100 denies
- 0484T 36100 denies
- 0515T 36100 denies
- 0516T 36100 denies
- 0520T 36100 denies
- 0544T 36100 denies
- 0643T 36100 denies
- 0644T 36100 denies
- 33418 36100 denies
- 33419 36100 denies
- 34001 36100 denies
- 34051 36100 denies
- 35001 36100 denies
- 35002 36100 denies
- 35005 36100 denies
- 35021 36100 denies
- 35022 36100 denies
- 35201 35201 denies
- 35206 35206 denies
- 35226 35226 denies
- 35231 35231 denies
- 35236 35236 denies
- 35256 35256 denies
- 35261 35261 denies
- 35266 35266 denies
- 35286 35286 denies
- 35301 36100 denies
- 36002 36002 denies
- 36215 36100 denies
- 36216 36100 denies
- 36217 36100 denies
- 36221 36100 denies
- 36222 36100 denies
- 36223 36100 denies
- 36224 36100 denies
- 36225 36100 denies
- 36226 36100 denies
- 37215 36100 denies
- 37217 36100 denies
- 37218 36100 denies
- 37242 36100 denies
- 37243 36100 denies
- 37244 36100 denies
- 61623 36100 denies
- 61630 36100 denies
- 61635 36100 denies
- 61650 36100 denies
- 61651 36100 denies
Showing 50 of 58. 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.