NCCI edits for CPT 87634
CMS lists 7 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 28 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.
- 0112U 87634 denies
- 0115U 87634 denies
- 0442U 0442U denies
- 0528U 87634 denies
- 80503 80503 denies
- 80504 80504 denies
- 80505 80505 denies
- 80506 80506 denies
- 81400 81400 denies
- 81401 81401 denies
- 81402 81402 denies
- 81403 81403 denies
- 81404 81404 denies
- 81405 81405 denies
- 81406 81406 denies
- 81407 81407 denies
- 81408 81408 denies
- 87149 87634 denies
- 87150 87634 denies
- 87153 87634 denies
- 87154 87634 denies
- 87206 87206 denies
- 87253 87634 denies
- 87631 87634 denies
- 87632 87634 denies
- 87633 87634 denies
- 87798 87634 denies
- 87801 87634 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.