NCCI edits for CPT 77011
CMS lists 4 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 34 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.
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.
- 0054T 77011 denies
- 0055T 77011 denies
- 0739T 77011 denies
- 10035 77011 denies
- 10036 77011 denies
- 19081 77011 denies
- 19082 77011 denies
- 19083 77011 denies
- 19084 77011 denies
- 19085 77011 denies
- 19086 77011 denies
- 19281 77011 denies
- 19282 77011 denies
- 19283 77011 denies
- 19284 77011 denies
- 19285 77011 denies
- 19286 77011 denies
- 19287 77011 denies
- 19288 77011 denies
- 20696 77011 denies
- 20697 77011 denies
- 20985 77011 denies
- 22586 77011 denies
- 55881 77011 denies
- 55882 77011 denies
- 61751 77011 denies
- 76380 76380 denies
- 77012 77012 denies
- 99446 99446 denies
- 99447 99447 denies
- 99448 99448 denies
- 99449 99449 denies
- 99451 99451 denies
- 99452 99452 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.