NCCI edits for CPT 00520
CMS lists 304 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 158 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.
- 0397T 00520 denies
- 0652T 00520 denies
- 0653T 00520 denies
- 0654T 00520 denies
- 0708T 0708T denies
- 0709T 0709T denies
- 0781T 00520 denies
- 0782T 00520 denies
- 0884T 00520 denies
- 31592 00520 denies
- 31600 00520 denies
- 31601 00520 denies
- 31603 00520 denies
- 31605 00520 denies
- 31610 00520 denies
- 31611 00520 denies
- 31612 00520 denies
- 31613 00520 denies
- 31614 00520 denies
- 31615 00520 denies
- 31622 00520 denies
- 31623 00520 denies
- 31624 00520 denies
- 31625 00520 denies
- 31626 00520 denies
- 31628 00520 denies
- 31629 00520 denies
- 31630 00520 denies
- 31631 00520 denies
- 31634 00520 denies
- 31635 00520 denies
- 31636 00520 denies
- 31638 00520 denies
- 31640 00520 denies
- 31641 00520 denies
- 31643 00520 denies
- 31645 00520 denies
- 31646 00520 denies
- 31647 00520 denies
- 31648 00520 denies
- 31649 00520 denies
- 31651 00520 denies
- 31652 00520 denies
- 31653 00520 denies
- 31654 00520 denies
- 31660 00520 denies
- 31661 00520 denies
- 31717 00520 denies
- 31720 00520 denies
- 31725 00520 denies
Showing 50 of 304. The plain-text version contains every pair.
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.
- 01996 01996 denies
- 0213T 0213T denies
- 0216T 0216T denies
- 0632T 0632T denies
- 0903T 0903T denies
- 0904T 0904T denies
- 0905T 0905T denies
- 31505 31505 denies
- 31515 31515 denies
- 31527 31527 denies
- 36000 36000 denies
- 36011 36011 denies
- 36012 36012 denies
- 36013 36013 denies
- 36014 36014 denies
- 36015 36015 denies
- 36400 36400 denies
- 36405 36405 denies
- 36406 36406 denies
- 36410 36410 denies
- 36420 36420 denies
- 36425 36425 denies
- 36430 36430 denies
- 36440 36440 denies
- 36600 36600 denies
- 36640 36640 denies
- 43752 43752 denies
- 43753 43753 denies
- 43754 43754 denies
- 61026 61026 denies
- 61055 61055 denies
- 62280 62280 denies
- 62281 62281 denies
- 62282 62282 denies
- 62284 62284 denies
- 62320 62320 denies
- 62321 62321 denies
- 62322 62322 denies
- 62323 62323 denies
- 62324 62324 denies
- 62325 62325 denies
- 62326 62326 denies
- 62327 62327 denies
- 64400 64400 denies
- 64405 64405 denies
- 64408 64408 denies
- 64415 64415 denies
- 64416 64416 denies
- 64417 64417 denies
- 64418 64418 denies
Showing 50 of 158. The plain-text version contains every pair.
NCCI edits are not a coverage determination or a substitute for the current CMS NCCI Policy Manual. Deleted pairs are excluded from this page.