NCCI edits for CPT 75635
CMS lists 16 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 121 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.
- 01916 01916 denies
- 01924 01924 denies
- 01925 01925 denies
- 01926 01926 denies
- 0691T 75635 denies
- 0694T 0694T denies
- 34839 75635 denies
- 36591 36591 denies
- 36592 36592 denies
- 72191 72191 denies
- 73706 73706 denies
- 74174 74174 denies
- 74175 74175 denies
- 76376 76376 denies
- 76377 76377 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.
- 0236T 75635 denies
- 0238T 75635 denies
- 0558T 0558T denies
- 0708T 0708T denies
- 0709T 0709T denies
- 33275 75635 denies
- 34201 75635 denies
- 34701 75635 denies
- 34702 75635 denies
- 34703 75635 denies
- 34704 75635 denies
- 34705 75635 denies
- 34706 75635 denies
- 34707 75635 denies
- 34708 75635 denies
- 34709 75635 denies
- 34710 75635 denies
- 34711 75635 denies
- 34712 75635 denies
- 34713 75635 denies
- 34714 75635 denies
- 34715 75635 denies
- 34716 75635 denies
- 34717 75635 denies
- 34718 75635 denies
- 34812 75635 denies
- 34820 75635 denies
- 34830 75635 denies
- 34831 75635 denies
- 34832 75635 denies
- 34833 75635 denies
- 34834 75635 denies
- 34841 75635 denies
- 34842 75635 denies
- 34843 75635 denies
- 34844 75635 denies
- 34845 75635 denies
- 34846 75635 denies
- 34847 75635 denies
- 34848 75635 denies
- 35081 75635 denies
- 35082 75635 denies
- 35091 75635 denies
- 35092 75635 denies
- 35102 75635 denies
- 35103 75635 denies
- 35131 75635 denies
- 35132 75635 denies
- 35141 75635 denies
- 35142 75635 denies
Showing 50 of 121. 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.