NCCI edits for CPT 78830
CMS lists 11 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 65 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.
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
- 0898T 0898T denies
- 36000 36000 denies
- 36005 36005 denies
- 36011 36011 denies
- 36406 36406 denies
- 36410 36410 denies
- 71275 78830 denies
- 75571 75571 denies
- 75572 78830 denies
- 75573 78830 denies
- 75574 78830 denies
- 76000 76000 denies
- 76376 76376 denies
- 76377 76377 denies
- 76380 76380 denies
- 76942 76942 denies
- 76998 76998 denies
- 77001 77001 denies
- 77002 77002 denies
- 77301 78830 denies
- 77750 78830 denies
- 77761 78830 denies
- 77762 78830 denies
- 77763 78830 denies
- 77767 77767 denies
- 77768 78830 denies
- 77770 78830 denies
- 77771 78830 denies
- 77772 78830 denies
- 77778 78830 denies
- 77789 77789 denies
- 78185 78185 denies
- 78195 78195 denies
- 78201 78201 denies
- 78215 78215 denies
- 78451 78830 denies
- 78452 78830 denies
- 78469 78830 denies
- 78494 78830 denies
- 78800 78800 denies
- 78801 78801 denies
- 78808 78808 denies
- 78811 78830 denies
- 78812 78830 denies
- 78813 78830 denies
- 78814 78830 denies
Showing 50 of 65. 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.