NCCI edits for CPT 0581T
CMS lists 67 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 166 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: the Column Two code is denied and the Column One code is paid.
- 0213T 0213T denies
- 0216T 0216T denies
- 36591 36591 denies
- 36592 36592 denies
- 62320 0581T denies
- 62321 0581T denies
- 62322 0581T denies
- 62323 0581T denies
- 62324 0581T denies
- 62325 0581T denies
- 62326 0581T denies
- 62327 0581T denies
- 64400 0581T denies
- 64405 0581T denies
- 64408 0581T denies
- 64415 0581T denies
- 64416 0581T denies
- 64417 0581T denies
- 64418 0581T denies
- 64420 0581T denies
- 64421 0581T denies
- 64425 0581T denies
- 64430 0581T denies
- 64435 0581T denies
- 64445 0581T denies
- 64446 0581T denies
- 64447 0581T denies
- 64448 0581T denies
- 64449 0581T denies
- 64450 64450 denies
- 64461 0581T denies
- 64462 0581T denies
- 64463 0581T denies
- 64466 0581T denies
- 64467 0581T denies
- 64468 0581T denies
- 64469 0581T denies
- 64479 0581T denies
- 64480 0581T denies
- 64483 0581T denies
- 64484 0581T denies
- 64486 0581T denies
- 64487 0581T denies
- 64488 0581T denies
- 64489 0581T denies
- 64490 0581T denies
- 64491 0581T denies
- 64492 0581T denies
- 64493 0581T denies
- 64494 0581T denies
Showing 50 of 67. 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.
- 0596T 0581T denies
- 0597T 0581T denies
- 0600T 0581T denies
- 0601T 0581T denies
- 0708T 0581T denies
- 0709T 0581T denies
- 0903T 0581T denies
- 0904T 0581T denies
- 0905T 0581T denies
- 12001 0581T denies
- 12002 0581T denies
- 12004 0581T denies
- 12005 0581T denies
- 12006 0581T denies
- 12007 0581T denies
- 12011 0581T denies
- 12013 0581T denies
- 12014 0581T denies
- 12015 0581T denies
- 12016 0581T denies
- 12017 0581T denies
- 12018 0581T denies
- 12020 0581T denies
- 12021 0581T denies
- 12031 0581T denies
- 12032 0581T denies
- 12034 0581T denies
- 12035 0581T denies
- 12036 0581T denies
- 12037 0581T denies
- 12041 0581T denies
- 12042 0581T denies
- 12044 0581T denies
- 12045 0581T denies
- 12046 0581T denies
- 12047 0581T denies
- 12051 0581T denies
- 12052 0581T denies
- 12053 0581T denies
- 12054 0581T denies
- 12055 0581T denies
- 12056 0581T denies
- 12057 0581T denies
- 13100 0581T denies
- 13101 0581T denies
- 13102 0581T denies
- 13120 0581T denies
- 13121 0581T denies
- 13122 0581T denies
- 13131 0581T denies
Showing 50 of 166. 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.