NCCI edits for HCPCS A9551
CMS lists 17 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: 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.
- 0868T A9551 denies
- 38792 A9551 denies
- 78195 A9551 denies
- 78215 A9551 denies
- 78216 A9551 denies
- 78227 A9551 denies
- 78264 A9551 denies
- 78265 A9551 denies
- 78266 A9551 denies
- 78300 A9551 denies
- 78305 A9551 denies
- 78306 A9551 denies
- 78315 A9551 denies
- 78452 A9551 denies
- 78472 A9551 denies
- 78800 A9551 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 A9551 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.