NCCI edits for CPT 61635
CMS lists 42 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 89 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.
- 01924 01924 denies
- 01926 01926 denies
- 01930 01930 denies
- 01933 01933 denies
- 0333T 0333T denies
- 0464T 0464T denies
- 36591 36591 denies
- 36592 36592 denies
- 61630 61630 denies
- 92652 92652 denies
- 92653 92653 denies
- 95822 95822 denies
- 95860 95860 denies
- 95861 95861 denies
- 95863 95863 denies
- 95864 95864 denies
- 95865 95865 denies
- 95866 95866 denies
- 95867 95867 denies
- 95868 95868 denies
- 95869 95869 denies
- 95870 95870 denies
- 95907 95907 denies
- 95908 95908 denies
- 95909 95909 denies
- 95910 95910 denies
- 95911 95911 denies
- 95912 95912 denies
- 95913 95913 denies
- 95925 95925 denies
- 95926 95926 denies
- 95927 95927 denies
- 95928 95928 denies
- 95929 95929 denies
- 95930 95930 denies
- 95933 95933 denies
- 95937 95937 denies
- 95938 95938 denies
- 95939 95939 denies
- 95940 95940 denies
- 96523 96523 denies
- G0453 G0453 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
- 0596T 0596T denies
- 0597T 0597T denies
- 0708T 0708T denies
- 0709T 0709T 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
- 35201 35201 denies
- 35206 35206 denies
- 35226 35226 denies
- 35231 35231 denies
- 35236 35236 denies
- 35256 35256 denies
- 35261 35261 denies
- 35266 35266 denies
- 35286 35286 denies
- 36000 36000 denies
- 36100 36100 denies
- 36140 36140 denies
- 36200 36200 denies
- 36215 36215 denies
- 36216 36216 denies
- 36217 36217 denies
- 36410 36410 denies
- 36620 36620 denies
- 36625 36625 denies
- 37215 37215 denies
- 37217 37217 denies
- 37218 37218 denies
- 37236 37236 denies
- 37238 37238 denies
- 37241 61635 denies
- 37242 61635 denies
- 37243 61635 denies
- 37244 61635 denies
- 37246 37246 denies
- 37247 37247 denies
- 51701 51701 denies
- 51702 51702 denies
- 51703 51703 denies
Showing 50 of 89. 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.