NCCI edits for CPT 20680
CMS lists 237 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 356 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 3 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
- 0484T 20680 denies
- 0543T 20680 denies
- 0545T 20680 denies
- 0643T 20680 denies
- 0646T 20680 denies
- 21627 20680 denies
- 21630 20680 denies
- 21750 20680 denies
- 33020 20680 denies
- 33025 20680 denies
- 33030 20680 denies
- 33031 20680 denies
- 33050 20680 denies
- 33120 20680 denies
- 33130 20680 denies
- 33361 20680 denies
- 33362 20680 denies
- 33363 20680 denies
- 33364 20680 denies
- 33365 20680 denies
- 33366 20680 denies
- 33367 20680 denies
- 33368 20680 denies
- 33369 20680 denies
- 33370 20680 denies
- 33390 20680 denies
- 33391 20680 denies
- 33404 20680 denies
- 33405 20680 denies
- 33406 20680 denies
- 33410 20680 denies
- 33411 20680 denies
- 33412 20680 denies
- 33413 20680 denies
- 33414 20680 denies
- 33415 20680 denies
- 33416 20680 denies
- 33417 20680 denies
- 33420 20680 denies
- 33422 20680 denies
- 33425 20680 denies
- 33426 20680 denies
- 33427 20680 denies
- 33430 20680 denies
- 33440 20680 denies
- 33460 20680 denies
- 33463 20680 denies
- 33464 20680 denies
Showing 50 of 237. 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.
- 0490T 0490T denies
- 0510T 0510T denies
- 0511T 0511T denies
- 0596T 0596T denies
- 0597T 0597T denies
- 0718T 0718T denies
- 0903T 0903T denies
- 0904T 0904T denies
- 0905T 0905T denies
- 11000 11000 denies
- 11001 11001 denies
- 11004 11004 denies
- 11005 11005 denies
- 11006 11006 denies
- 11010 11010 denies
- 11042 11042 denies
- 11043 11043 denies
- 11044 11044 denies
- 11045 11045 denies
- 11046 11046 denies
- 11047 11047 denies
- 12001 12001 denies
- 12002 12002 denies
- 12004 12004 denies
- 12005 12005 denies
- 12006 12006 denies
- 12007 12007 denies
- 12011 12011 denies
- 12013 12013 denies
- 12014 12014 denies
- 12015 12015 denies
- 12016 12016 denies
- 12017 12017 denies
- 12018 12018 denies
- 12020 12020 denies
- 12021 12021 denies
- 12031 12031 denies
- 12032 12032 denies
- 12034 12034 denies
- 12035 12035 denies
- 12036 12036 denies
- 12037 12037 denies
- 12041 12041 denies
- 12042 12042 denies
- 12044 12044 denies
- 12045 12045 denies
- 12046 12046 denies
- 12047 12047 denies
- 12051 12051 denies
- 12052 12052 denies
Showing 50 of 356. 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.