NCCI edits for CPT 78812
CMS lists 19 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 38 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
- 78811 78811 denies
- 78813 78812 denies
- 78814 78812 denies
- 78815 78812 denies
- 78816 78812 denies
- 96523 96523 denies
- A4641 A4641 denies
- A9503 A9503 denies
- A9509 A9509 denies
- A9516 A9516 denies
- A9517 A9517 denies
- A9526 A9526 denies
- A9539 A9539 denies
- A9555 A9555 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.
- 0694T 0694T denies
- 0708T 0708T denies
- 0709T 0709T denies
- 0898T 0898T denies
- 36000 36000 denies
- 36005 36005 denies
- 36410 36410 denies
- 70450 70450 denies
- 70480 70480 denies
- 70486 70486 denies
- 70490 70490 denies
- 71250 71250 denies
- 71271 71271 denies
- 72125 72125 denies
- 72128 72128 denies
- 72131 72131 denies
- 72192 72192 denies
- 73200 73200 denies
- 73700 73700 denies
- 74150 74150 denies
- 74176 74176 denies
- 76376 76376 denies
- 76377 76377 denies
- 78803 78803 denies
- 78830 78830 denies
- 78831 78831 denies
- 78832 78832 denies
- 79101 78812 denies
- 96360 96360 denies
- 96365 96365 denies
- 96372 96372 denies
- 96374 96374 denies
- 96375 96375 denies
- 96376 96376 denies
- 96377 96377 denies
- A9540 A9540 denies
- A9560 A9560 denies
- J1642 J1642 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.