NCCI edits for HCPCS A9572
CMS lists 24 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: 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: the Column Two code is denied and the Column One code is paid.
- 0868T A9572 denies
- 38792 A9572 denies
- 78018 A9572 denies
- 78102 A9572 denies
- 78104 A9572 denies
- 78215 A9572 denies
- 78226 A9572 denies
- 78227 A9572 denies
- 78264 A9572 denies
- 78265 A9572 denies
- 78266 A9572 denies
- 78278 A9572 denies
- 78300 A9572 denies
- 78305 A9572 denies
- 78315 A9572 denies
- 78451 A9572 denies
- 78452 A9572 denies
- 78582 A9572 denies
- 78630 A9572 denies
- 78645 A9572 denies
- 78650 A9572 denies
- 78708 A9572 denies
- 78812 A9572 denies
- 78815 A9572 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.
- 78306 A9572 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.