NCCI edits for CPT 20561
CMS lists 78 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 649 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
- 0213T 0213T denies
- 0216T 0216T denies
- 20560 20560 denies
- 20802 20561 denies
- 20808 20561 denies
- 36591 36591 denies
- 36592 36592 denies
- 62320 20561 denies
- 62321 20561 denies
- 62322 20561 denies
- 62323 20561 denies
- 62324 20561 denies
- 62325 20561 denies
- 62326 20561 denies
- 62327 20561 denies
- 64400 20561 denies
- 64405 20561 denies
- 64408 20561 denies
- 64415 20561 denies
- 64416 20561 denies
- 64417 20561 denies
- 64418 20561 denies
- 64420 20561 denies
- 64421 20561 denies
- 64425 20561 denies
- 64430 20561 denies
- 64435 20561 denies
- 64445 20561 denies
- 64446 20561 denies
- 64447 20561 denies
- 64448 20561 denies
- 64449 20561 denies
- 64450 64450 denies
- 64461 20561 denies
- 64462 20561 denies
- 64463 20561 denies
- 64466 20561 denies
- 64467 20561 denies
- 64468 20561 denies
- 64469 20561 denies
- 64473 20561 denies
- 64474 20561 denies
- 64479 20561 denies
- 64480 20561 denies
- 64483 20561 denies
- 64484 20561 denies
- 64486 20561 denies
- 64487 20561 denies
Showing 50 of 78. 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.
- 0335T 20561 denies
- 0490T 20561 denies
- 0510T 20561 denies
- 0511T 20561 denies
- 0596T 20561 denies
- 0597T 20561 denies
- 0632T 20561 denies
- 0718T 20561 denies
- 0903T 0903T denies
- 0904T 0904T denies
- 0905T 0905T denies
- 10030 10030 denies
- 10160 10160 denies
- 11000 20561 denies
- 11001 11001 denies
- 11004 20561 denies
- 11005 20561 denies
- 11006 20561 denies
- 11010 20561 denies
- 11011 20561 denies
- 11012 20561 denies
- 11042 20561 denies
- 11043 20561 denies
- 11044 20561 denies
- 11045 20561 denies
- 11046 20561 denies
- 11047 20561 denies
- 11750 20561 denies
- 11760 20561 denies
- 11762 20561 denies
- 11765 20561 denies
- 11900 11900 denies
- 11901 11901 denies
- 12001 20561 denies
- 12002 20561 denies
- 12004 20561 denies
- 12005 20561 denies
- 12006 20561 denies
- 12007 20561 denies
- 12011 20561 denies
- 12013 20561 denies
- 12014 20561 denies
- 12015 20561 denies
- 12016 20561 denies
- 12017 20561 denies
- 12018 20561 denies
- 12020 20561 denies
- 12021 20561 denies
- 12031 20561 denies
- 12032 20561 denies
Showing 50 of 649. 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.