NCCI edits for HCPCS A9540
CMS lists 34 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 4 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.
- 0541T A9540 denies
- 0542T A9540 denies
- 38792 A9540 denies
- 78018 A9540 denies
- 78070 A9540 denies
- 78102 A9540 denies
- 78103 A9540 denies
- 78122 A9540 denies
- 78195 A9540 denies
- 78226 A9540 denies
- 78227 A9540 denies
- 78278 A9540 denies
- 78282 A9540 denies
- 78300 A9540 denies
- 78305 A9540 denies
- 78306 A9540 denies
- 78315 A9540 denies
- 78429 A9540 denies
- 78451 A9540 denies
- 78452 A9540 denies
- 78453 A9540 denies
- 78454 A9540 denies
- 78472 A9540 denies
- 78473 A9540 denies
- 78491 A9540 denies
- 78492 A9540 denies
- 78579 A9540 denies
- 78605 A9540 denies
- 78630 A9540 denies
- 78645 A9540 denies
- 78707 A9540 denies
- 78708 A9540 denies
- 78709 A9540 denies
- 78725 A9540 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.