NCCI edits for CPT 43635
CMS lists 13 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 26 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
- 38100 38100 denies
- 38101 38101 denies
- 38120 38120 denies
- 43206 43206 denies
- 43231 43231 denies
- 43232 43232 denies
- 43238 43238 denies
- 43240 43240 denies
- 43242 43242 denies
- 43253 43253 denies
- 43266 43266 denies
- 43752 43752 denies
- 97597 97597 denies
- 97598 97598 denies
- 97602 97602 denies
NCCI edits are not a coverage determination or a substitute for the current CMS NCCI Policy Manual. Deleted pairs are excluded from this page.