NCCI edits for CPT 96361
CMS lists 67 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 5,577 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 8 units 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.
- 0395T 96361 denies
- 36591 36591 denies
- 36592 36592 denies
- 77261 96361 denies
- 77262 96361 denies
- 77263 96361 denies
- 77280 96361 denies
- 77285 96361 denies
- 77290 96361 denies
- 77293 96361 denies
- 77295 96361 denies
- 77300 96361 denies
- 77301 96361 denies
- 77306 96361 denies
- 77307 96361 denies
- 77316 96361 denies
- 77317 96361 denies
- 77318 96361 denies
- 77321 96361 denies
- 77331 96361 denies
- 77332 96361 denies
- 77333 96361 denies
- 77334 96361 denies
- 77336 96361 denies
- 77338 96361 denies
- 77370 96361 denies
- 77371 96361 denies
- 77372 96361 denies
- 77373 96361 denies
- 77402 96361 denies
- 77407 96361 denies
- 77412 96361 denies
- 77417 96361 denies
- 77423 96361 denies
- 77424 96361 denies
- 77425 96361 denies
- 77427 96361 denies
- 77431 96361 denies
- 77432 96361 denies
- 77435 96361 denies
- 77469 96361 denies
- 77470 96361 denies
- 77520 96361 denies
- 77522 96361 denies
- 77523 96361 denies
- 77525 96361 denies
- 77600 96361 denies
- 77605 96361 denies
- 77610 96361 denies
- 77615 96361 denies
Showing 50 of 67. 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.
- 0437T 96361 denies
- 0440T 96361 denies
- 0441T 96361 denies
- 0442T 96361 denies
- 0444T 96361 denies
- 0445T 96361 denies
- 0446T 96361 denies
- 0447T 96361 denies
- 0448T 96361 denies
- 0449T 96361 denies
- 0450T 96361 denies
- 0474T 96361 denies
- 0479T 96361 denies
- 0480T 96361 denies
- 0481T 96361 denies
- 0483T 96361 denies
- 0484T 96361 denies
- 0489T 96361 denies
- 0490T 96361 denies
- 0505T 96361 denies
- 0510T 96361 denies
- 0511T 96361 denies
- 0512T 96361 denies
- 0513T 96361 denies
- 0515T 96361 denies
- 0516T 96361 denies
- 0517T 96361 denies
- 0518T 96361 denies
- 0519T 96361 denies
- 0520T 96361 denies
- 0523T 96361 denies
- 0524T 96361 denies
- 0543T 0543T denies
- 0544T 0544T denies
- 0545T 96361 denies
- 0552T 96361 denies
- 0563T 96361 denies
- 0565T 96361 denies
- 0566T 96361 denies
- 0569T 0569T denies
- 0570T 0570T denies
- 0571T 0571T denies
- 0572T 0572T denies
- 0573T 0573T denies
- 0574T 0574T denies
- 0577T 96361 denies
- 0580T 0580T denies
- 0581T 0581T denies
- 0582T 96361 denies
- 0583T 96361 denies
Showing 50 of 5,577. 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.