NCCI edits for CPT 44203
CMS lists 17 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 35 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.
- 36591 36591 denies
- 36592 36592 denies
- 44120 44203 denies
- 44121 44121 denies
- 44125 44203 denies
- 44126 44203 denies
- 44127 44203 denies
- 44128 44203 denies
- 44132 44203 denies
- 44133 44203 denies
- 44950 44950 denies
- 49400 49400 denies
- 62324 62324 denies
- 62325 62325 denies
- 62326 62326 denies
- 62327 62327 denies
- 96523 96523 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.
- 0213T 0213T denies
- 0216T 0216T 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
- 36000 36000 denies
- 36410 36410 denies
- 43752 43752 denies
- 44701 44701 denies
- 49082 49082 denies
- 49083 49083 denies
- 49084 49084 denies
- 61650 61650 denies
- 64415 64415 denies
- 64416 64416 denies
- 64417 64417 denies
- 64450 64450 denies
- 64454 64454 denies
- 64486 64486 denies
- 64487 64487 denies
- 64488 64488 denies
- 64489 64489 denies
- 64490 64490 denies
- 64493 64493 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.