NCCI edits for CPT 78803
CMS lists 24 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 103 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.
- 01922 01922 denies
- 36591 36591 denies
- 36592 36592 denies
- 71270 78803 denies
- 71271 78803 denies
- 77790 77790 denies
- 78201 78803 denies
- 78202 78803 denies
- 78215 78803 denies
- 78216 78803 denies
- 78445 78445 denies
- 78630 78803 denies
- 78635 78803 denies
- 78645 78803 denies
- 78650 78803 denies
- 78709 78803 denies
- 78830 78803 denies
- 78831 78803 denies
- 78832 78803 denies
- 96523 96523 denies
- A9547 A9547 denies
- A9562 A9562 denies
- A9567 A9567 denies
- A9568 A9568 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
- 71275 78803 denies
- 75571 75571 denies
- 75572 78803 denies
- 75573 78803 denies
- 75574 78803 denies
- 76000 76000 denies
- 76376 76376 denies
- 76377 76377 denies
- 76380 76380 denies
- 76800 76800 denies
- 76942 76942 denies
- 76998 76998 denies
- 77001 77001 denies
- 77002 77002 denies
- 77003 77003 denies
- 77301 78803 denies
- 77750 77750 denies
- 77761 77761 denies
- 77762 77762 denies
- 77763 77763 denies
- 77767 78803 denies
- 77768 78803 denies
- 77770 78803 denies
- 77771 78803 denies
- 77772 78803 denies
- 77778 77778 denies
- 77789 77789 denies
- 78070 78070 denies
- 78071 78803 denies
- 78072 78803 denies
- 78185 78185 denies
- 78195 78195 denies
- 78300 78300 denies
- 78305 78305 denies
- 78315 78315 denies
- 78451 78803 denies
- 78452 78803 denies
- 78469 78803 denies
- 78494 78803 denies
- 78600 78600 denies
- 78601 78601 denies
Showing 50 of 103. 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.