NCCI edits for CPT 36415
CMS lists 4 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 18 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.
- 0232T 36415 denies
- 0481T 36415 denies
- 99211 99211 denies
- 99291 36415 denies
- 99466 36415 denies
- 99467 36415 denies
- 99468 36415 denies
- 99469 36415 denies
- 99471 36415 denies
- 99472 36415 denies
- 99475 36415 denies
- 99476 36415 denies
- 99477 36415 denies
- 99478 36415 denies
- 99479 36415 denies
- 99480 36415 denies
- 99485 36415 denies
- 99486 36415 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.