NCCI edits for CPT 20551
CMS lists 25 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 650 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.
- 20802 20551 denies
- 20808 20551 denies
- 36591 36591 denies
- 36592 36592 denies
- 64461 64461 denies
- 64463 64463 denies
- 64480 64480 denies
- 64484 64484 denies
- 64486 64486 denies
- 64487 64487 denies
- 64488 64488 denies
- 64489 64489 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 20551 denies
- 0216T 20551 denies
- 0232T 0232T denies
- 0335T 20551 denies
- 0481T 0481T denies
- 0490T 0490T denies
- 0510T 20551 denies
- 0511T 20551 denies
- 0566T 20551 denies
- 0596T 0596T denies
- 0597T 0597T denies
- 0632T 20551 denies
- 0718T 20551 denies
- 0903T 0903T denies
- 0904T 0904T denies
- 0905T 0905T denies
- 10030 10030 denies
- 10160 10160 denies
- 11000 11000 denies
- 11001 11001 denies
- 11004 11004 denies
- 11005 11005 denies
- 11006 11006 denies
- 11010 20551 denies
- 11011 20551 denies
- 11012 20551 denies
- 11042 11042 denies
- 11043 11043 denies
- 11044 11044 denies
- 11045 11045 denies
- 11046 11046 denies
- 11047 11047 denies
- 11750 20551 denies
- 11760 20551 denies
- 11762 20551 denies
- 11765 20551 denies
- 11900 11900 denies
- 11901 11901 denies
- 14000 20551 denies
- 14001 20551 denies
- 14020 20551 denies
- 14021 20551 denies
- 14040 20551 denies
- 14041 20551 denies
- 14060 20551 denies
- 14061 20551 denies
- 14301 20551 denies
- 15120 20551 denies
- 15200 20551 denies
- 15220 20551 denies
Showing 50 of 650. 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.