NCCI edits for CPT 21750
CMS lists 239 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 181 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.
- 00550 00550 denies
- 0213T 0213T denies
- 0216T 0216T denies
- 0484T 21750 denies
- 0543T 21750 denies
- 0545T 21750 denies
- 0643T 21750 denies
- 0646T 21750 denies
- 20670 20670 denies
- 20680 20680 denies
- 21620 21750 denies
- 21627 21627 denies
- 21630 21750 denies
- 21820 21750 denies
- 21825 21750 denies
- 33020 21750 denies
- 33025 21750 denies
- 33030 21750 denies
- 33031 21750 denies
- 33050 21750 denies
- 33120 21750 denies
- 33130 21750 denies
- 33361 21750 denies
- 33362 21750 denies
- 33363 21750 denies
- 33364 21750 denies
- 33365 21750 denies
- 33366 21750 denies
- 33367 21750 denies
- 33368 21750 denies
- 33369 21750 denies
- 33370 21750 denies
- 33390 21750 denies
- 33391 21750 denies
- 33404 21750 denies
- 33405 21750 denies
- 33406 21750 denies
- 33410 21750 denies
- 33411 21750 denies
- 33412 21750 denies
- 33413 21750 denies
- 33414 21750 denies
- 33415 21750 denies
- 33416 21750 denies
- 33417 21750 denies
- 33420 21750 denies
- 33422 21750 denies
- 33425 21750 denies
- 33426 21750 denies
- 33427 21750 denies
Showing 50 of 239. 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.
- 0596T 0596T denies
- 0597T 0597T denies
- 0708T 0708T denies
- 0709T 0709T 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 21750 denies
- 11011 21750 denies
- 11012 21750 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 181. 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.