NCCI edits for CPT 78800
CMS lists 22 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 56 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
- 38900 78800 denies
- 77790 77790 denies
- 78445 78445 denies
- 96523 96523 denies
- A4642 A4642 denies
- A9503 A9503 denies
- A9509 A9509 denies
- A9510 A9510 denies
- A9512 A9512 denies
- A9517 A9517 denies
- A9521 A9521 denies
- A9537 A9537 denies
- A9547 A9547 denies
- A9548 A9548 denies
- A9551 A9551 denies
- A9552 A9552 denies
- A9558 A9558 denies
- A9560 A9560 denies
- A9561 A9561 denies
- A9567 A9567 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
- 36011 36011 denies
- 36406 36406 denies
- 36410 36410 denies
- 76000 76000 denies
- 76376 76376 denies
- 76377 76377 denies
- 76942 76942 denies
- 76998 76998 denies
- 77001 77001 denies
- 77002 77002 denies
- 77750 77750 denies
- 77761 77761 denies
- 77762 77762 denies
- 77763 77763 denies
- 77767 78800 denies
- 77768 78800 denies
- 77770 78800 denies
- 77771 78800 denies
- 77772 78800 denies
- 77778 77778 denies
- 77789 77789 denies
- 78070 78800 denies
- 78071 78800 denies
- 78072 78800 denies
- 78451 78800 denies
- 78452 78800 denies
- 78469 78800 denies
- 78494 78800 denies
- 78801 78800 denies
- 78802 78800 denies
- 78803 78800 denies
- 78804 78800 denies
- 78808 78808 denies
- 78830 78800 denies
- 78831 78800 denies
- 78832 78800 denies
- 79101 78800 denies
- 79403 78800 denies
- 96360 96360 denies
- 96365 96365 denies
- 96372 96372 denies
- 96374 96374 denies
- 96375 96375 denies
- 96376 96376 denies
Showing 50 of 56. 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.