NCCI edits for CPT 36216
CMS lists 9 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 201 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.
- 0075T 36216 denies
- 0483T 36216 denies
- 0484T 36216 denies
- 0515T 36216 denies
- 0516T 36216 denies
- 0520T 36216 denies
- 0543T 36216 denies
- 0632T 36216 denies
- 0643T 36216 denies
- 0644T 36216 denies
- 0659T 36216 denies
- 0913T 36216 denies
- 32852 36216 denies
- 32854 36216 denies
- 33031 36216 denies
- 33120 36216 denies
- 33251 36216 denies
- 33256 36216 denies
- 33259 36216 denies
- 33261 36216 denies
- 33305 36216 denies
- 33315 36216 denies
- 33322 36216 denies
- 33335 36216 denies
- 33363 36216 denies
- 33365 36216 denies
- 33366 36216 denies
- 33367 36216 denies
- 33368 36216 denies
- 33369 36216 denies
- 33390 36216 denies
- 33391 36216 denies
- 33405 36216 denies
- 33406 36216 denies
- 33410 36216 denies
- 33422 36216 denies
- 33425 36216 denies
- 33426 36216 denies
- 33427 36216 denies
- 33430 36216 denies
- 33460 36216 denies
- 33465 36216 denies
- 33474 36216 denies
- 33496 36216 denies
- 33500 36216 denies
- 33504 36216 denies
- 33505 36216 denies
- 33506 36216 denies
- 33507 36216 denies
- 33600 36216 denies
Showing 50 of 201. 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.