NCCI edits for CPT 20526
CMS lists 26 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 389 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.
- 36591 36591 denies
- 36592 36592 denies
- 64461 64461 denies
- 64462 64462 denies
- 64463 64463 denies
- 64480 64480 denies
- 64484 64484 denies
- 64486 64486 denies
- 64487 64487 denies
- 64488 64488 denies
- 64489 64489 denies
- 64491 64491 denies
- 64492 64492 denies
- 64494 64494 denies
- 64495 64495 denies
- 69990 69990 denies
- 96523 96523 denies
- 99155 99155 denies
- 99156 99156 denies
- 99157 99157 denies
- 99446 99446 denies
- 99447 99447 denies
- 99448 99448 denies
- 99449 99449 denies
- 99451 99451 denies
- 99452 99452 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.
- 0213T 0213T denies
- 0216T 0216T denies
- 0490T 20526 denies
- 0594T 20526 denies
- 0596T 0596T denies
- 0597T 0597T denies
- 0707T 20526 denies
- 0718T 20526 denies
- 0869T 20526 denies
- 0903T 0903T denies
- 0904T 0904T denies
- 0905T 0905T denies
- 10030 10030 denies
- 10160 10160 denies
- 11042 20526 denies
- 11900 11900 denies
- 11901 11901 denies
- 14040 20526 denies
- 14041 20526 denies
- 14301 20526 denies
- 15120 20526 denies
- 15240 20526 denies
- 20500 20500 denies
- 20520 20526 denies
- 20525 20526 denies
- 20527 20526 denies
- 20550 20526 denies
- 20551 20526 denies
- 20552 20526 denies
- 20553 20526 denies
- 20560 20526 denies
- 20561 20526 denies
- 20600 20526 denies
- 20604 20526 denies
- 20605 20526 denies
- 20606 20526 denies
- 20612 20526 denies
- 20615 20526 denies
- 20670 20526 denies
- 20680 20526 denies
- 20690 20526 denies
- 20692 20526 denies
- 20693 20526 denies
- 20694 20526 denies
- 20696 20526 denies
- 20697 20526 denies
- 20704 20526 denies
- 20805 20526 denies
- 20808 20526 denies
- 20816 20526 denies
Showing 50 of 389. 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.