NCCI edits for HCPCS A9555
CMS lists 19 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 6 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 2 units 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 A9555 denies
- 78122 A9555 denies
- 78226 A9555 denies
- 78227 A9555 denies
- 78264 A9555 denies
- 78265 A9555 denies
- 78266 A9555 denies
- 78306 A9555 denies
- 78428 A9555 denies
- 78579 A9555 denies
- 78580 A9555 denies
- 78582 A9555 denies
- 78608 A9555 denies
- 78811 A9555 denies
- 78812 A9555 denies
- 78813 A9555 denies
- 78814 A9555 denies
- 78815 A9555 denies
- 78816 A9555 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.