NCCI edits for HCPCS A9541
CMS lists 23 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 2 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.
- 78018 A9541 denies
- 78070 A9541 denies
- 78226 A9541 denies
- 78227 A9541 denies
- 78230 A9541 denies
- 78261 A9541 denies
- 78300 A9541 denies
- 78305 A9541 denies
- 78306 A9541 denies
- 78315 A9541 denies
- 78445 A9541 denies
- 78451 A9541 denies
- 78452 A9541 denies
- 78472 A9541 denies
- 78473 A9541 denies
- 78492 A9541 denies
- 78580 A9541 denies
- 78597 A9541 denies
- 78645 A9541 denies
- 78707 A9541 denies
- 78708 A9541 denies
- 78815 A9541 denies
- 78816 A9541 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.