NCCI edits for HCPCS A9536
CMS lists 22 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, and it is the Column Two code that is denied while Column One is paid.
- 0868T A9536 denies
- 78215 A9536 denies
- 78226 A9536 denies
- 78227 A9536 denies
- 78264 A9536 denies
- 78265 A9536 denies
- 78266 A9536 denies
- 78290 A9536 denies
- 78306 A9536 denies
- 78315 A9536 denies
- 78452 A9536 denies
- 78472 A9536 denies
- 78579 A9536 denies
- 78580 A9536 denies
- 78582 A9536 denies
- 78597 A9536 denies
- 78598 A9536 denies
- 78701 A9536 denies
- 78707 A9536 denies
- 78708 A9536 denies
- 78709 A9536 denies
- A9512 A9512 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.
- 78803 A9536 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.