NCCI edits for CPT 36200
CMS lists 43 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 376 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.
- 01916 01916 denies
- 01924 01924 denies
- 01925 01925 denies
- 01926 01926 denies
- 0632T 36200 denies
- 33894 36200 denies
- 33895 36200 denies
- 33897 36200 denies
- 34830 36200 denies
- 34831 36200 denies
- 34832 36200 denies
- 36591 36591 denies
- 36592 36592 denies
- 64461 64461 denies
- 64462 64462 denies
- 64463 64463 denies
- 64486 64486 denies
- 64487 64487 denies
- 64488 64488 denies
- 64489 64489 denies
- 69990 69990 denies
- 93050 93050 denies
- 93452 36200 denies
- 93453 36200 denies
- 93454 36200 denies
- 93455 36200 denies
- 93456 36200 denies
- 93457 36200 denies
- 93458 36200 denies
- 93459 36200 denies
- 93460 36200 denies
- 93461 36200 denies
- 93595 36200 denies
- 93596 36200 denies
- 93597 36200 denies
- 96523 96523 denies
- 99446 99446 denies
- 99447 99447 denies
- 99448 99448 denies
- 99449 99449 denies
- 99451 99451 denies
- 99452 99452 denies
- G0278 36200 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.
- 0075T 36200 denies
- 0338T 36200 denies
- 0339T 36200 denies
- 0345T 36200 denies
- 0483T 36200 denies
- 0484T 36200 denies
- 0505T 36200 denies
- 0515T 36200 denies
- 0516T 36200 denies
- 0520T 36200 denies
- 0543T 36200 denies
- 0544T 36200 denies
- 0620T 36200 denies
- 0643T 36200 denies
- 0644T 36200 denies
- 0659T 36200 denies
- 0913T 36200 denies
- 12001 12001 denies
- 12002 12002 denies
- 12004 12004 denies
- 12005 12005 denies
- 12006 12006 denies
- 12007 12007 denies
- 12011 12011 denies
- 12013 12013 denies
- 12014 12014 denies
- 12015 12015 denies
- 12016 12016 denies
- 12017 12017 denies
- 12018 12018 denies
- 12020 12020 denies
- 12021 12021 denies
- 12031 12031 denies
- 12032 12032 denies
- 12034 12034 denies
- 12035 12035 denies
- 12036 12036 denies
- 12037 12037 denies
- 12041 12041 denies
- 12042 12042 denies
- 12044 12044 denies
- 12045 12045 denies
- 12046 12046 denies
- 12047 12047 denies
- 12051 12051 denies
- 12052 12052 denies
- 12053 12053 denies
- 12054 12054 denies
- 12055 12055 denies
- 12056 12056 denies
Showing 50 of 376. 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.