NCCI edits for CPT 36228
CMS lists 5 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 28 pairs with modifier indicator 1, where an NCCI-associated modifier may be allowed when the documentation supports it.
NCCI release: Q3 2026. Source: CMS National Correct Coding Initiative (NCCI) Edits. Complete plain-text list.
Check a paired code Copy link
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, and it is the Column Two code that is denied while Column One 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 36228 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
- 51702 51702 denies
- 61645 36228 denies
- 61650 36228 denies
- 61651 36228 denies
- 75774 75774 denies
- 76000 76000 denies
- 93451 36228 denies
- 93452 36228 denies
- 93453 36228 denies
- 93595 36228 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.