NCCI edits for CPT 38747
CMS lists 11 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 76 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 1 unit 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.
- 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
- 38500 38500 denies
- 38531 38531 denies
- 38570 38570 denies
- 43112 38747 denies
- 43113 38747 denies
- 43117 38747 denies
- 43118 38747 denies
- 43121 38747 denies
- 43122 38747 denies
- 43123 38747 denies
- 43620 38747 denies
- 43621 38747 denies
- 43622 38747 denies
- 43631 38747 denies
- 43632 38747 denies
- 43633 38747 denies
- 43634 38747 denies
- 44140 38747 denies
- 44141 38747 denies
- 44143 38747 denies
- 44144 38747 denies
- 44145 38747 denies
- 44146 38747 denies
- 44147 38747 denies
- 44150 38747 denies
- 44151 38747 denies
- 44155 38747 denies
- 44156 38747 denies
- 44157 38747 denies
- 44158 38747 denies
- 44160 38747 denies
- 45110 38747 denies
- 45111 38747 denies
- 45112 38747 denies
- 45113 38747 denies
- 45114 38747 denies
- 45116 38747 denies
- 45119 38747 denies
- 45120 38747 denies
Showing 50 of 76. 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.