NCCI edits for CPT 74177
CMS lists 8 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 27 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.
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.
- 0558T 0558T denies
- 0721T 74177 denies
- 0739T 74177 denies
- 36000 36000 denies
- 36005 36005 denies
- 36011 36011 denies
- 36410 36410 denies
- 55881 74177 denies
- 55882 74177 denies
- 72191 74177 denies
- 72192 72192 denies
- 72193 72193 denies
- 72194 72194 denies
- 74150 74150 denies
- 74160 74160 denies
- 74170 74170 denies
- 74174 74177 denies
- 74175 74177 denies
- 74176 74176 denies
- 74178 74177 denies
- 76380 76380 denies
- 77301 74177 denies
- 96360 96360 denies
- 96365 96365 denies
- 96374 96374 denies
- J1642 J1642 denies
- J1644 J1644 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.