NCCI edits for CPT 36425
CMS lists 69 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 6,065 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.
- 0395T 36425 denies
- 36591 36591 denies
- 36592 36592 denies
- 69990 69990 denies
- 76018 36425 denies
- 76019 36425 denies
- 77261 36425 denies
- 77262 36425 denies
- 77263 36425 denies
- 77280 36425 denies
- 77285 36425 denies
- 77290 36425 denies
- 77293 36425 denies
- 77295 36425 denies
- 77300 36425 denies
- 77301 36425 denies
- 77306 36425 denies
- 77307 36425 denies
- 77316 36425 denies
- 77317 36425 denies
- 77318 36425 denies
- 77321 36425 denies
- 77331 36425 denies
- 77332 36425 denies
- 77333 36425 denies
- 77334 36425 denies
- 77336 36425 denies
- 77338 36425 denies
- 77370 36425 denies
- 77371 36425 denies
- 77372 36425 denies
- 77373 36425 denies
- 77402 36425 denies
- 77407 36425 denies
- 77412 36425 denies
- 77417 36425 denies
- 77423 36425 denies
- 77424 36425 denies
- 77425 36425 denies
- 77427 36425 denies
- 77431 36425 denies
- 77432 36425 denies
- 77435 36425 denies
- 77469 36425 denies
- 77470 36425 denies
- 77520 36425 denies
- 77522 36425 denies
- 77523 36425 denies
- 77525 36425 denies
- 77600 36425 denies
Showing 50 of 69. The plain-text version contains every pair.
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.
- 00100 36425 denies
- 00102 36425 denies
- 00103 36425 denies
- 00104 36425 denies
- 00120 36425 denies
- 00124 36425 denies
- 00126 36425 denies
- 00140 36425 denies
- 00142 36425 denies
- 00144 36425 denies
- 00145 36425 denies
- 00147 36425 denies
- 00148 36425 denies
- 00160 36425 denies
- 00162 36425 denies
- 00164 36425 denies
- 00170 36425 denies
- 00172 36425 denies
- 00174 36425 denies
- 00176 36425 denies
- 00190 36425 denies
- 00192 36425 denies
- 00210 36425 denies
- 00211 36425 denies
- 00212 36425 denies
- 00214 36425 denies
- 00215 36425 denies
- 00216 36425 denies
- 00218 36425 denies
- 00220 36425 denies
- 00222 36425 denies
- 00300 36425 denies
- 00320 36425 denies
- 00322 36425 denies
- 00326 36425 denies
- 00350 36425 denies
- 00352 36425 denies
- 00400 36425 denies
- 00402 36425 denies
- 00404 36425 denies
- 00406 36425 denies
- 00410 36425 denies
- 00450 36425 denies
- 00454 36425 denies
- 00470 36425 denies
- 00472 36425 denies
- 00474 36425 denies
- 00500 36425 denies
- 00520 36425 denies
- 00522 36425 denies
Showing 50 of 6,065. 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.