NCCI edits for CPT 78635
CMS lists 67 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: Q3 2026. Source: CMS National Correct Coding Initiative (NCCI) Edits. Complete plain-text list.
Check a paired code Copy link
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, and it is the Column Two code that is denied while Column One is paid.
- 0345T 78635 denies
- 0483T 78635 denies
- 0484T 78635 denies
- 0541T 78635 denies
- 0542T 78635 denies
- 0544T 78635 denies
- 0632T 78635 denies
- 0643T 78635 denies
- 33361 78635 denies
- 33362 78635 denies
- 33363 78635 denies
- 33364 78635 denies
- 33365 78635 denies
- 33366 78635 denies
- 33367 78635 denies
- 33368 78635 denies
- 33369 78635 denies
- 33370 78635 denies
- 33418 78635 denies
- 33419 78635 denies
- 36591 36591 denies
- 36592 36592 denies
- 77790 77790 denies
- 78445 78445 denies
- 78451 78635 denies
- 78452 78635 denies
- 78453 78635 denies
- 78454 78635 denies
- 78466 78635 denies
- 78468 78635 denies
- 78469 78635 denies
- 78472 78635 denies
- 78473 78635 denies
- 78481 78635 denies
- 78483 78635 denies
- 78494 78635 denies
- 78803 78803 denies
- 93451 78635 denies
- 93452 78635 denies
- 93453 78635 denies
- 93456 78635 denies
- 93457 78635 denies
- 93458 78635 denies
- 93459 78635 denies
- 93460 78635 denies
- 93461 78635 denies
- 93563 78635 denies
- 93564 78635 denies
- 93565 78635 denies
- 93566 78635 denies
Showing 50 of 67. The plain-text version contains every pair.
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 78635 denies
- 77768 78635 denies
- 77770 78635 denies
- 77771 78635 denies
- 77772 78635 denies
- 77778 77778 denies
- 77789 77789 denies
- 78630 78630 denies
- 78645 78635 denies
- 78650 78635 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.