NCCI edits for HCPCS A9538
CMS lists 25 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 0 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, and it is the Column Two code that is denied while Column One is paid.
- 0868T A9538 denies
- 78070 A9538 denies
- 78202 A9538 denies
- 78215 A9538 denies
- 78226 A9538 denies
- 78227 A9538 denies
- 78264 A9538 denies
- 78265 A9538 denies
- 78266 A9538 denies
- 78278 A9538 denies
- 78290 A9538 denies
- 78305 A9538 denies
- 78451 A9538 denies
- 78452 A9538 denies
- 78472 A9538 denies
- 78473 A9538 denies
- 78481 A9538 denies
- 78483 A9538 denies
- 78494 A9538 denies
- 78580 A9538 denies
- 78597 A9538 denies
- 78709 A9538 denies
- 78808 A9538 denies
- 78815 A9538 denies
- A9512 A9512 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.