NCCI edits for CPT 79101
CMS lists 78 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 45 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.
- 0541T 0541T denies
- 0542T 0542T denies
- 36591 36591 denies
- 36592 36592 denies
- 77750 79101 denies
- 77790 77790 denies
- 78013 78013 denies
- 78014 78014 denies
- 78070 78070 denies
- 78071 78071 denies
- 78072 78072 denies
- 78075 78075 denies
- 78102 78102 denies
- 78103 78103 denies
- 78104 78104 denies
- 78110 78110 denies
- 78111 78111 denies
- 78120 78120 denies
- 78121 78121 denies
- 78122 78122 denies
- 78130 78130 denies
- 78140 78140 denies
- 78185 78185 denies
- 78191 78191 denies
- 78195 78195 denies
- 78230 78230 denies
- 78231 78231 denies
- 78261 78261 denies
- 78278 78278 denies
- 78282 78282 denies
- 78290 78290 denies
- 78428 78428 denies
- 78430 78430 denies
- 78431 78431 denies
- 78432 78432 denies
- 78433 78433 denies
- 78445 78445 denies
- 78451 78451 denies
- 78452 78452 denies
- 78453 78453 denies
- 78454 78454 denies
- 78456 78456 denies
- 78457 78457 denies
- 78458 78458 denies
- 78459 78459 denies
- 78466 78466 denies
- 78468 78468 denies
- 78469 78469 denies
- 78472 78472 denies
- 78473 78473 denies
Showing 50 of 78. The plain-text version contains every pair.
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.
- 0708T 0708T denies
- 0709T 0709T denies
- 36000 36000 denies
- 36400 36400 denies
- 36410 36410 denies
- 78201 78201 denies
- 78202 78202 denies
- 78215 78215 denies
- 78216 78216 denies
- 78226 78226 denies
- 78227 78227 denies
- 78300 78300 denies
- 78305 78305 denies
- 78306 78306 denies
- 78315 78315 denies
- 78800 78800 denies
- 78801 78801 denies
- 78802 78802 denies
- 78803 78803 denies
- 78804 78804 denies
- 78808 78808 denies
- 78811 78811 denies
- 78812 78812 denies
- 78813 78813 denies
- 78814 78814 denies
- 78815 78815 denies
- 78816 78816 denies
- 78830 78830 denies
- 78831 78831 denies
- 78832 78832 denies
- 96360 96360 denies
- 96365 96365 denies
- 96372 96372 denies
- 96374 96374 denies
- 96375 96375 denies
- 96376 96376 denies
- 96377 96377 denies
- 99446 99446 denies
- 99447 99447 denies
- 99448 99448 denies
- 99449 99449 denies
- 99451 99451 denies
- 99452 99452 denies
- J1642 J1642 denies
- J1644 J1644 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.