NCCI edits for CPT 78630
CMS lists 25 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 39 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
- 77790 77790 denies
- 78445 78445 denies
- 78803 78803 denies
- 96523 96523 denies
- 99446 99446 denies
- 99447 99447 denies
- 99448 99448 denies
- 99449 99449 denies
- 99451 99451 denies
- 99452 99452 denies
- A4642 A4642 denies
- A9502 A9502 denies
- A9503 A9503 denies
- A9507 A9507 denies
- A9516 A9516 denies
- A9521 A9521 denies
- A9540 A9540 denies
- A9542 A9542 denies
- A9547 A9547 denies
- A9567 A9567 denies
- A9568 A9568 denies
- A9570 A9570 denies
- A9572 A9572 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.
- 0395T 0395T denies
- 0694T 0694T denies
- 0708T 0708T denies
- 0709T 0709T denies
- 36000 36000 denies
- 36005 36005 denies
- 36410 36410 denies
- 76000 76000 denies
- 76376 76376 denies
- 76377 76377 denies
- 76800 76800 denies
- 76942 76942 denies
- 76998 76998 denies
- 77001 77001 denies
- 77002 77002 denies
- 77003 77003 denies
- 77750 77750 denies
- 77761 77761 denies
- 77762 77762 denies
- 77763 77763 denies
- 77767 78630 denies
- 77768 78630 denies
- 77770 78630 denies
- 77771 78630 denies
- 77772 78630 denies
- 77778 77778 denies
- 77789 77789 denies
- 78635 78630 denies
- 78645 78630 denies
- 78650 78630 denies
- 96360 96360 denies
- 96365 96365 denies
- 96372 96372 denies
- 96374 96374 denies
- 96375 96375 denies
- 96376 96376 denies
- 96377 96377 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.