NCCI edits for CPT 78813
CMS lists 13 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 37 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
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.
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 78813 denies
- 96360 96360 denies
- 96365 96365 denies
- 96372 96372 denies
- 96374 96374 denies
- 96375 96375 denies
- 96376 96376 denies
- 96377 96377 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.