NCCI edits for CPT 0820T
CMS lists 23 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 0 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 6 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.
- 36591 36591 denies
- 36592 36592 denies
- 90832 0820T denies
- 90833 0820T denies
- 90834 0820T denies
- 90836 0820T denies
- 90837 0820T denies
- 90838 0820T denies
- 90839 0820T denies
- 90840 0820T denies
- 96116 0820T denies
- 96121 0820T denies
- 96523 96523 denies
- 97151 0820T denies
- 97152 0820T denies
- 97153 0820T denies
- 97154 0820T denies
- 97155 0820T denies
- 97156 0820T denies
- 97157 0820T denies
- 97158 0820T denies
- 99415 0820T denies
- 99416 0820T 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.