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: 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.
- 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.