NCCI edits for CPT 98978
CMS lists 22 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 3 pairs with modifier indicator 1, where an NCCI-associated modifier may be allowed when the documentation supports it.
NCCI release: Q3 2026. Source: CMS National Correct Coding Initiative (NCCI) Edits. Complete plain-text list.
Check a paired code Copy link
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, and it is the Column Two code that is denied while Column One is paid.
- 36591 36591 denies
- 36592 36592 denies
- 96523 96523 denies
- 98975 98975 denies
- 98976 98976 denies
- 98977 98977 denies
- 99091 99091 denies
- 99424 99424 denies
- 99425 99425 denies
- 99426 99426 denies
- 99427 99427 denies
- 99437 99437 denies
- 99439 99439 denies
- 99453 99453 denies
- 99454 99454 denies
- 99457 99457 denies
- 99458 99458 denies
- 99484 99484 denies
- 99492 99492 denies
- 99493 99493 denies
- 99494 99494 denies
- G0248 G0248 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.
NCCI edits are not a coverage determination or a substitute for the current CMS NCCI Policy Manual. Deleted pairs are excluded from this page.