NCCI edits for CPT 0580T
CMS lists 164 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 192 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: the Column Two code is denied and the Column One code is paid.
- 00530 00530 denies
- 00534 00534 denies
- 0213T 0213T denies
- 0216T 0216T denies
- 0519T 0580T denies
- 0572T 0572T denies
- 0575T 0580T denies
- 0576T 0576T denies
- 0577T 0580T denies
- 0614T 0580T denies
- 0650T 0580T denies
- 0695T 0580T denies
- 0696T 0580T denies
- 0919T 0580T denies
- 0920T 0580T denies
- 0921T 0921T denies
- 0922T 0922T denies
- 33202 33202 denies
- 33203 33203 denies
- 33210 0580T denies
- 33211 0580T denies
- 33212 0580T denies
- 33213 0580T denies
- 33214 0580T denies
- 33215 0580T denies
- 33216 0580T denies
- 33217 0580T denies
- 33218 0580T denies
- 33220 0580T denies
- 33221 0580T denies
- 33222 0580T denies
- 33223 0580T denies
- 33226 0580T denies
- 33227 0580T denies
- 33228 0580T denies
- 33229 0580T denies
- 33230 0580T denies
- 33231 0580T denies
- 33233 0580T denies
- 33234 0580T denies
- 33235 0580T denies
- 33236 33236 denies
- 33237 33237 denies
- 33238 33238 denies
- 33241 0580T denies
- 33243 33243 denies
- 33244 0580T denies
- 33250 33250 denies
- 33251 33251 denies
- 33254 33254 denies
Showing 50 of 164. 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.
- 0515T 0580T denies
- 0516T 0580T denies
- 0517T 0580T denies
- 0521T 0521T denies
- 0522T 0522T denies
- 0525T 0525T denies
- 0526T 0526T denies
- 0527T 0527T denies
- 0528T 0528T denies
- 0529T 0529T denies
- 0596T 0580T denies
- 0597T 0580T denies
- 0708T 0580T denies
- 0709T 0580T denies
- 0903T 0580T denies
- 0904T 0580T denies
- 0905T 0580T denies
- 0928T 0580T denies
- 0929T 0929T denies
- 0930T 0930T denies
- 0934T 0580T denies
- 11000 11000 denies
- 11001 11001 denies
- 11004 11004 denies
- 11005 11005 denies
- 11006 11006 denies
- 11042 11042 denies
- 11043 11043 denies
- 11044 11044 denies
- 11045 11045 denies
- 11046 11046 denies
- 11047 11047 denies
- 12001 0580T denies
- 12002 0580T denies
- 12004 0580T denies
- 12005 0580T denies
- 12006 0580T denies
- 12007 0580T denies
- 12011 0580T denies
- 12013 0580T denies
- 12014 0580T denies
- 12015 0580T denies
- 12016 0580T denies
- 12017 0580T denies
- 12018 0580T denies
- 12020 0580T denies
- 12021 0580T denies
- 12031 0580T denies
- 12032 0580T denies
- 12034 0580T denies
Showing 50 of 192. 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.