NCCI edits for CPT 20527
CMS lists 66 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 573 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 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
- 64420 64420 denies
- 64421 64421 denies
- 64425 64425 denies
- 64430 64430 denies
- 64435 64435 denies
- 64445 64445 denies
- 64446 64446 denies
- 64447 64447 denies
- 64448 64448 denies
- 64449 64449 denies
- 64451 64451 denies
- 64461 64461 denies
- 64462 64462 denies
- 64463 64463 denies
- 64479 64479 denies
- 64480 64480 denies
- 64483 64483 denies
- 64484 64484 denies
- 64486 64486 denies
- 64487 64487 denies
- 64488 64488 denies
- 64489 64489 denies
- 64490 64490 denies
- 64491 64491 denies
- 64492 64492 denies
- 64493 64493 denies
- 64494 64494 denies
- 64495 64495 denies
- 64505 64505 denies
- 64510 64510 denies
- 64517 64517 denies
Showing 50 of 66. 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.
- 0232T 0232T denies
- 0335T 20527 denies
- 0481T 0481T denies
- 0510T 20527 denies
- 0511T 20527 denies
- 0566T 20527 denies
- 0596T 0596T denies
- 0597T 0597T denies
- 0903T 0903T denies
- 0904T 0904T denies
- 0905T 0905T denies
- 10030 10030 denies
- 10160 10160 denies
- 11010 20527 denies
- 11750 20527 denies
- 11760 20527 denies
- 11762 20527 denies
- 11765 20527 denies
- 11900 11900 denies
- 11901 11901 denies
- 12032 12032 denies
- 12042 12042 denies
- 14000 20527 denies
- 14001 20527 denies
- 14020 20527 denies
- 14021 20527 denies
- 14040 20527 denies
- 14060 20527 denies
- 14061 20527 denies
- 14301 20527 denies
- 15120 20527 denies
- 15200 20527 denies
- 15220 20527 denies
- 20500 20500 denies
- 20520 20527 denies
- 20525 20527 denies
- 20526 20526 denies
- 20550 20550 denies
- 20551 20551 denies
- 20552 20552 denies
- 20553 20553 denies
- 20560 20560 denies
- 20561 20561 denies
- 20600 20527 denies
- 20604 20527 denies
- 20605 20527 denies
- 20606 20527 denies
- 20610 20527 denies
- 20611 20527 denies
- 20612 20527 denies
Showing 50 of 573. 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.