NCCI edits for CPT 36227
CMS lists 5 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 32 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 1 unit 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.
- 0632T 36227 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
- 36160 36160 denies
- 36200 36200 denies
- 36215 36215 denies
- 36216 36216 denies
- 36217 36217 denies
- 36218 36218 denies
- 37211 36227 denies
- 37212 36227 denies
- 37213 36227 denies
- 37214 36227 denies
- 37217 36227 denies
- 37218 36227 denies
- 51702 51702 denies
- 61645 36227 denies
- 75774 75774 denies
- 76000 76000 denies
- 93451 36227 denies
- 93452 36227 denies
- 93453 36227 denies
- 93595 36227 denies
- G0269 G0269 denies
- G0471 G0471 denies
NCCI edits are not a coverage determination or a substitute for the current CMS NCCI Policy Manual. Deleted pairs are excluded from this page.