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: 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.
- 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.