NCCI edits for CPT 36556
CMS lists 10 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 312 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.
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 36556 denies
- 0408T 36556 denies
- 0410T 36556 denies
- 0411T 36556 denies
- 0413T 36556 denies
- 0415T 36556 denies
- 0483T 36556 denies
- 0484T 36556 denies
- 0494T 36556 denies
- 0515T 36556 denies
- 0516T 36556 denies
- 0520T 36556 denies
- 0525T 36556 denies
- 0526T 36556 denies
- 0530T 36556 denies
- 0531T 36556 denies
- 0532T 36556 denies
- 0544T 36556 denies
- 0571T 36556 denies
- 0574T 36556 denies
- 0577T 36556 denies
- 0596T 0596T denies
- 0597T 0597T denies
- 0632T 36556 denies
- 0643T 36556 denies
- 0708T 0708T denies
- 0709T 0709T denies
- 0903T 0903T denies
- 0904T 0904T denies
- 0905T 0905T denies
- 0915T 36556 denies
- 0917T 36556 denies
- 0918T 36556 denies
- 0920T 36556 denies
- 0921T 0921T denies
- 0922T 36556 denies
- 0930T 0930T denies
- 0931T 0931T denies
- 0933T 36556 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 312. 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.