NCCI edits for CPT 95836
CMS lists 33 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 1 pair 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.
- 0733T 0733T denies
- 0734T 0734T denies
- 0858T 0858T denies
- 36591 36591 denies
- 36592 36592 denies
- 95705 95836 denies
- 95706 95836 denies
- 95707 95836 denies
- 95711 95836 denies
- 95712 95836 denies
- 95713 95836 denies
- 95717 95836 denies
- 95718 95836 denies
- 95812 95836 denies
- 95813 95836 denies
- 95816 95836 denies
- 95819 95836 denies
- 95822 95836 denies
- 95824 95824 denies
- 95957 95957 denies
- 96523 96523 denies
- 98975 98975 denies
- 98976 98976 denies
- 98977 98977 denies
- 98980 98980 denies
- 98981 98981 denies
- 99091 99091 denies
- 99453 99453 denies
- 99454 99454 denies
- 99457 99457 denies
- 99458 99458 denies
- 99473 99473 denies
- 99474 99474 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.
- G0250 G0250 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.