NCCI edits for CPT 44955
CMS lists 23 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 16 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.
- 36591 36591 denies
- 36592 36592 denies
- 44005 44955 denies
- 44150 44955 denies
- 44151 44955 denies
- 44155 44955 denies
- 44156 44955 denies
- 44157 44955 denies
- 44158 44955 denies
- 44160 44955 denies
- 44205 44955 denies
- 44210 44955 denies
- 44211 44955 denies
- 44212 44955 denies
- 44820 44820 denies
- 44950 44955 denies
- 44960 44955 denies
- 44970 44955 denies
- 45126 44955 denies
- 49255 49255 denies
- 51597 44955 denies
- 58240 44955 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.
- 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
- 43752 43752 denies
- 44701 44701 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.