NCCI edits for CPT 20552
CMS lists 22 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 646 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 1 unit 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.
- 01991 01991 denies
- 01992 01992 denies
- 20553 20552 denies
- 20802 20552 denies
- 20808 20552 denies
- 36591 36591 denies
- 36592 36592 denies
- 64486 64486 denies
- 64487 64487 denies
- 64488 64488 denies
- 64489 64489 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
- 0335T 20552 denies
- 0490T 0490T denies
- 0510T 20552 denies
- 0511T 20552 denies
- 0566T 20552 denies
- 0596T 0596T denies
- 0597T 0597T denies
- 0632T 20552 denies
- 0718T 20552 denies
- 0903T 0903T denies
- 0904T 0904T denies
- 0905T 0905T denies
- 10030 10030 denies
- 10160 10160 denies
- 11000 20552 denies
- 11004 20552 denies
- 11005 20552 denies
- 11006 20552 denies
- 11010 20552 denies
- 11011 20552 denies
- 11012 20552 denies
- 11042 20552 denies
- 11043 20552 denies
- 11044 20552 denies
- 11750 20552 denies
- 11760 20552 denies
- 11762 20552 denies
- 11765 20552 denies
- 11900 11900 denies
- 11901 11901 denies
- 14000 20552 denies
- 14001 20552 denies
- 14020 20552 denies
- 14021 20552 denies
- 14040 20552 denies
- 14041 20552 denies
- 14060 20552 denies
- 14061 20552 denies
- 14301 20552 denies
- 15120 20552 denies
- 15200 20552 denies
- 15220 20552 denies
- 15240 20552 denies
- 20500 20500 denies
- 20520 20552 denies
- 20525 20552 denies
- 20526 20526 denies
- 20527 20552 denies
Showing 50 of 646. 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.