NCCI edits for CPT 36555
CMS lists 26 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 329 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.
- 33952 36555 denies
- 33954 36555 denies
- 33956 36555 denies
- 36591 36591 denies
- 36592 36592 denies
- 64461 64461 denies
- 64462 64462 denies
- 64463 64463 denies
- 64486 64486 denies
- 64487 64487 denies
- 64488 64488 denies
- 64489 64489 denies
- 64490 64490 denies
- 64491 64491 denies
- 64492 64492 denies
- 64493 64493 denies
- 64494 64494 denies
- 64495 64495 denies
- 69990 69990 denies
- 96523 96523 denies
- 99446 99446 denies
- 99447 99447 denies
- 99448 99448 denies
- 99449 99449 denies
- 99451 99451 denies
- 99452 99452 denies
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.
- 0345T 36555 denies
- 0408T 36555 denies
- 0410T 36555 denies
- 0411T 36555 denies
- 0413T 36555 denies
- 0415T 36555 denies
- 0483T 36555 denies
- 0484T 36555 denies
- 0494T 36555 denies
- 0515T 36555 denies
- 0516T 36555 denies
- 0520T 36555 denies
- 0525T 36555 denies
- 0526T 36555 denies
- 0530T 36555 denies
- 0531T 36555 denies
- 0532T 36555 denies
- 0544T 36555 denies
- 0571T 36555 denies
- 0574T 36555 denies
- 0577T 36555 denies
- 0596T 0596T denies
- 0597T 0597T denies
- 0632T 36555 denies
- 0643T 36555 denies
- 0708T 0708T denies
- 0709T 0709T denies
- 0903T 0903T denies
- 0904T 0904T denies
- 0905T 0905T denies
- 0915T 36555 denies
- 0917T 36555 denies
- 0918T 36555 denies
- 0920T 36555 denies
- 0921T 0921T denies
- 0922T 0922T denies
- 0930T 0930T denies
- 0931T 0931T denies
- 0933T 36555 denies
- 11000 11000 denies
- 11001 11001 denies
- 11004 11004 denies
- 11005 11005 denies
- 11006 11006 denies
- 11042 11042 denies
- 11043 11043 denies
- 11044 11044 denies
- 11045 11045 denies
- 11046 11046 denies
- 11047 11047 denies
Showing 50 of 329. 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.