NCCI edits for 42820 Code page: https://localishealth.com/cpt/42820 NCCI release: 2026 C Source: https://www.cms.gov/medicare/coding-billing/national-correct-coding-initiative-ncci-edits NOT SEPARATELY PAYABLE TOGETHER — NO NCCI-ASSOCIATED MODIFIER BYPASSES THE EDIT (modifier indicator 0) 00170 42820 is Column One, 00170 is Column Two — 00170 denies 0213T 42820 is Column One, 0213T is Column Two — 0213T denies 0216T 42820 is Column One, 0216T is Column Two — 0216T denies 36591 42820 is Column One, 36591 is Column Two — 36591 denies 36592 42820 is Column One, 36592 is Column Two — 36592 denies 42825 42820 is Column One, 42825 is Column Two — 42825 denies 42826 42820 is Column One, 42826 is Column Two — 42826 denies 42830 42820 is Column One, 42830 is Column Two — 42830 denies 42831 42820 is Column One, 42831 is Column Two — 42831 denies 42835 42820 is Column One, 42835 is Column Two — 42835 denies 42836 42820 is Column One, 42836 is Column Two — 42836 denies 42870 42820 is Column One, 42870 is Column Two — 42870 denies 62320 42820 is Column One, 62320 is Column Two — 62320 denies 62321 42820 is Column One, 62321 is Column Two — 62321 denies 62322 42820 is Column One, 62322 is Column Two — 62322 denies 62323 42820 is Column One, 62323 is Column Two — 62323 denies 62324 42820 is Column One, 62324 is Column Two — 62324 denies 62325 42820 is Column One, 62325 is Column Two — 62325 denies 62326 42820 is Column One, 62326 is Column Two — 62326 denies 62327 42820 is Column One, 62327 is Column Two — 62327 denies 64400 42820 is Column One, 64400 is Column Two — 64400 denies 64405 42820 is Column One, 64405 is Column Two — 64405 denies 64408 42820 is Column One, 64408 is Column Two — 64408 denies 64415 42820 is Column One, 64415 is Column Two — 64415 denies 64416 42820 is Column One, 64416 is Column Two — 64416 denies 64417 42820 is Column One, 64417 is Column Two — 64417 denies 64418 42820 is Column One, 64418 is Column Two — 64418 denies 64420 42820 is Column One, 64420 is Column Two — 64420 denies 64421 42820 is Column One, 64421 is Column Two — 64421 denies 64425 42820 is Column One, 64425 is Column Two — 64425 denies 64430 42820 is Column One, 64430 is Column Two — 64430 denies 64435 42820 is Column One, 64435 is Column Two — 64435 denies 64445 42820 is Column One, 64445 is Column Two — 64445 denies 64446 42820 is Column One, 64446 is Column Two — 64446 denies 64447 42820 is Column One, 64447 is Column Two — 64447 denies 64448 42820 is Column One, 64448 is Column Two — 64448 denies 64449 42820 is Column One, 64449 is Column Two — 64449 denies 64450 42820 is Column One, 64450 is Column Two — 64450 denies 64451 42820 is Column One, 64451 is Column Two — 64451 denies 64454 42820 is Column One, 64454 is Column Two — 64454 denies 64461 42820 is Column One, 64461 is Column Two — 64461 denies 64462 42820 is Column One, 64462 is Column Two — 64462 denies 64463 42820 is Column One, 64463 is Column Two — 64463 denies 64479 42820 is Column One, 64479 is Column Two — 64479 denies 64480 42820 is Column One, 64480 is Column Two — 64480 denies 64483 42820 is Column One, 64483 is Column Two — 64483 denies 64484 42820 is Column One, 64484 is Column Two — 64484 denies 64486 42820 is Column One, 64486 is Column Two — 64486 denies 64487 42820 is Column One, 64487 is Column Two — 64487 denies 64488 42820 is Column One, 64488 is Column Two — 64488 denies 64489 42820 is Column One, 64489 is Column Two — 64489 denies 64490 42820 is Column One, 64490 is Column Two — 64490 denies 64491 42820 is Column One, 64491 is Column Two — 64491 denies 64492 42820 is Column One, 64492 is Column Two — 64492 denies 64493 42820 is Column One, 64493 is Column Two — 64493 denies 64494 42820 is Column One, 64494 is Column Two — 64494 denies 64495 42820 is Column One, 64495 is Column Two — 64495 denies 64505 42820 is Column One, 64505 is Column Two — 64505 denies 64510 42820 is Column One, 64510 is Column Two — 64510 denies 64517 42820 is Column One, 64517 is Column Two — 64517 denies 64520 42820 is Column One, 64520 is Column Two — 64520 denies 64530 42820 is Column One, 64530 is Column Two — 64530 denies 69990 42820 is Column One, 69990 is Column Two — 69990 denies 92502 42820 is Column One, 92502 is Column Two — 92502 denies 96523 42820 is Column One, 96523 is Column Two — 96523 denies 99155 42820 is Column One, 99155 is Column Two — 99155 denies 99156 42820 is Column One, 99156 is Column Two — 99156 denies 99157 42820 is Column One, 99157 is Column Two — 99157 denies 99446 42820 is Column One, 99446 is Column Two — 99446 denies 99447 42820 is Column One, 99447 is Column Two — 99447 denies 99448 42820 is Column One, 99448 is Column Two — 99448 denies 99449 42820 is Column One, 99449 is Column Two — 99449 denies 99451 42820 is Column One, 99451 is Column Two — 99451 denies 99452 42820 is Column One, 99452 is Column Two — 99452 denies 99495 42820 is Column One, 99495 is Column Two — 99495 denies 99496 42820 is Column One, 99496 is Column Two — 99496 denies BILLABLE TOGETHER ONLY WHEN AN NCCI-ASSOCIATED MODIFIER IS APPROPRIATE (modifier indicator 1) 0596T 42820 is Column One, 0596T is Column Two — 0596T denies 0597T 42820 is Column One, 0597T is Column Two — 0597T denies 0708T 42820 is Column One, 0708T is Column Two — 0708T denies 0709T 42820 is Column One, 0709T is Column Two — 0709T denies 0903T 42820 is Column One, 0903T is Column Two — 0903T denies 0904T 42820 is Column One, 0904T is Column Two — 0904T denies 0905T 42820 is Column One, 0905T is Column Two — 0905T denies 11000 42820 is Column One, 11000 is Column Two — 11000 denies 11001 42820 is Column One, 11001 is Column Two — 11001 denies 11004 42820 is Column One, 11004 is Column Two — 11004 denies 11005 42820 is Column One, 11005 is Column Two — 11005 denies 11006 42820 is Column One, 11006 is Column Two — 11006 denies 11042 42820 is Column One, 11042 is Column Two — 11042 denies 11043 42820 is Column One, 11043 is Column Two — 11043 denies 11044 42820 is Column One, 11044 is Column Two — 11044 denies 11045 42820 is Column One, 11045 is Column Two — 11045 denies 11046 42820 is Column One, 11046 is Column Two — 11046 denies 11047 42820 is Column One, 11047 is Column Two — 11047 denies 12001 42820 is Column One, 12001 is Column Two — 12001 denies 12002 42820 is Column One, 12002 is Column Two — 12002 denies 12004 42820 is Column One, 12004 is Column Two — 12004 denies 12005 42820 is Column One, 12005 is Column Two — 12005 denies 12006 42820 is Column One, 12006 is Column Two — 12006 denies 12007 42820 is Column One, 12007 is Column Two — 12007 denies 12011 42820 is Column One, 12011 is Column Two — 12011 denies 12013 42820 is Column One, 12013 is Column Two — 12013 denies 12014 42820 is Column One, 12014 is Column Two — 12014 denies 12015 42820 is Column One, 12015 is Column Two — 12015 denies 12016 42820 is Column One, 12016 is Column Two — 12016 denies 12017 42820 is Column One, 12017 is Column Two — 12017 denies 12018 42820 is Column One, 12018 is Column Two — 12018 denies 12020 42820 is Column One, 12020 is Column Two — 12020 denies 12021 42820 is Column One, 12021 is Column Two — 12021 denies 12031 42820 is Column One, 12031 is Column Two — 12031 denies 12032 42820 is Column One, 12032 is Column Two — 12032 denies 12034 42820 is Column One, 12034 is Column Two — 12034 denies 12035 42820 is Column One, 12035 is Column Two — 12035 denies 12036 42820 is Column One, 12036 is Column Two — 12036 denies 12037 42820 is Column One, 12037 is Column Two — 12037 denies 12041 42820 is Column One, 12041 is Column Two — 12041 denies 12042 42820 is Column One, 12042 is Column Two — 12042 denies 12044 42820 is Column One, 12044 is Column Two — 12044 denies 12045 42820 is Column One, 12045 is Column Two — 12045 denies 12046 42820 is Column One, 12046 is Column Two — 12046 denies 12047 42820 is Column One, 12047 is Column Two — 12047 denies 12051 42820 is Column One, 12051 is Column Two — 12051 denies 12052 42820 is Column One, 12052 is Column Two — 12052 denies 12053 42820 is Column One, 12053 is Column Two — 12053 denies 12054 42820 is Column One, 12054 is Column Two — 12054 denies 12055 42820 is Column One, 12055 is Column Two — 12055 denies 12056 42820 is Column One, 12056 is Column Two — 12056 denies 12057 42820 is Column One, 12057 is Column Two — 12057 denies 13100 42820 is Column One, 13100 is Column Two — 13100 denies 13101 42820 is Column One, 13101 is Column Two — 13101 denies 13102 42820 is Column One, 13102 is Column Two — 13102 denies 13120 42820 is Column One, 13120 is Column Two — 13120 denies 13121 42820 is Column One, 13121 is Column Two — 13121 denies 13122 42820 is Column One, 13122 is Column Two — 13122 denies 13131 42820 is Column One, 13131 is Column Two — 13131 denies 13132 42820 is Column One, 13132 is Column Two — 13132 denies 13133 42820 is Column One, 13133 is Column Two — 13133 denies 13151 42820 is Column One, 13151 is Column Two — 13151 denies 13152 42820 is Column One, 13152 is Column Two — 13152 denies 13153 42820 is Column One, 13153 is Column Two — 13153 denies 36000 42820 is Column One, 36000 is Column Two — 36000 denies 36400 42820 is Column One, 36400 is Column Two — 36400 denies 36405 42820 is Column One, 36405 is Column Two — 36405 denies 36406 42820 is Column One, 36406 is Column Two — 36406 denies 36410 42820 is Column One, 36410 is Column Two — 36410 denies 36420 42820 is Column One, 36420 is Column Two — 36420 denies 36425 42820 is Column One, 36425 is Column Two — 36425 denies 36430 42820 is Column One, 36430 is Column Two — 36430 denies 36440 42820 is Column One, 36440 is Column Two — 36440 denies 36600 42820 is Column One, 36600 is Column Two — 36600 denies 36640 42820 is Column One, 36640 is Column Two — 36640 denies 42821 42820 is Column One, 42821 is Column Two — 42821 denies 42842 42842 is Column One, 42820 is Column Two — 42820 denies 42844 42844 is Column One, 42820 is Column Two — 42820 denies 42845 42845 is Column One, 42820 is Column Two — 42820 denies 42860 42820 is Column One, 42860 is Column Two — 42860 denies 42960 42820 is Column One, 42960 is Column Two — 42960 denies 42961 42820 is Column One, 42961 is Column Two — 42961 denies 42962 42820 is Column One, 42962 is Column Two — 42962 denies 42970 42820 is Column One, 42970 is Column Two — 42970 denies 42971 42820 is Column One, 42971 is Column Two — 42971 denies 42972 42820 is Column One, 42972 is Column Two — 42972 denies 43752 42820 is Column One, 43752 is Column Two — 43752 denies 51701 42820 is Column One, 51701 is Column Two — 51701 denies 51702 42820 is Column One, 51702 is Column Two — 51702 denies 51703 42820 is Column One, 51703 is Column Two — 51703 denies 64466 42820 is Column One, 64466 is Column Two — 64466 denies 64467 42820 is Column One, 64467 is Column Two — 64467 denies 64468 42820 is Column One, 64468 is Column Two — 64468 denies 64469 42820 is Column One, 64469 is Column Two — 64469 denies 64473 42820 is Column One, 64473 is Column Two — 64473 denies 64474 42820 is Column One, 64474 is Column Two — 64474 denies 92012 42820 is Column One, 92012 is Column Two — 92012 denies 92014 42820 is Column One, 92014 is Column Two — 92014 denies 93000 42820 is Column One, 93000 is Column Two — 93000 denies 93005 42820 is Column One, 93005 is Column Two — 93005 denies 93010 42820 is Column One, 93010 is Column Two — 93010 denies 93040 42820 is Column One, 93040 is Column Two — 93040 denies 93041 42820 is Column One, 93041 is Column Two — 93041 denies 93042 42820 is Column One, 93042 is Column Two — 93042 denies 93318 42820 is Column One, 93318 is Column Two — 93318 denies 93355 42820 is Column One, 93355 is Column Two — 93355 denies 94002 42820 is Column One, 94002 is Column Two — 94002 denies 94200 42820 is Column One, 94200 is Column Two — 94200 denies 94680 42820 is Column One, 94680 is Column Two — 94680 denies 94681 42820 is Column One, 94681 is Column Two — 94681 denies 94690 42820 is Column One, 94690 is Column Two — 94690 denies 95812 42820 is Column One, 95812 is Column Two — 95812 denies 95813 42820 is Column One, 95813 is Column Two — 95813 denies 95816 42820 is Column One, 95816 is Column Two — 95816 denies 95819 42820 is Column One, 95819 is Column Two — 95819 denies 95822 42820 is Column One, 95822 is Column Two — 95822 denies 95829 42820 is Column One, 95829 is Column Two — 95829 denies 95955 42820 is Column One, 95955 is Column Two — 95955 denies 96360 42820 is Column One, 96360 is Column Two — 96360 denies 96361 42820 is Column One, 96361 is Column Two — 96361 denies 96365 42820 is Column One, 96365 is Column Two — 96365 denies 96366 42820 is Column One, 96366 is Column Two — 96366 denies 96367 42820 is Column One, 96367 is Column Two — 96367 denies 96368 42820 is Column One, 96368 is Column Two — 96368 denies 96372 42820 is Column One, 96372 is Column Two — 96372 denies 96374 42820 is Column One, 96374 is Column Two — 96374 denies 96375 42820 is Column One, 96375 is Column Two — 96375 denies 96376 42820 is Column One, 96376 is Column Two — 96376 denies 96377 42820 is Column One, 96377 is Column Two — 96377 denies 97597 42820 is Column One, 97597 is Column Two — 97597 denies 97598 42820 is Column One, 97598 is Column Two — 97598 denies 97602 42820 is Column One, 97602 is Column Two — 97602 denies 99211 42820 is Column One, 99211 is Column Two — 99211 denies 99212 42820 is Column One, 99212 is Column Two — 99212 denies 99213 42820 is Column One, 99213 is Column Two — 99213 denies 99214 42820 is Column One, 99214 is Column Two — 99214 denies 99215 42820 is Column One, 99215 is Column Two — 99215 denies 99221 42820 is Column One, 99221 is Column Two — 99221 denies 99222 42820 is Column One, 99222 is Column Two — 99222 denies 99223 42820 is Column One, 99223 is Column Two — 99223 denies 99231 42820 is Column One, 99231 is Column Two — 99231 denies 99232 42820 is Column One, 99232 is Column Two — 99232 denies 99233 42820 is Column One, 99233 is Column Two — 99233 denies 99234 42820 is Column One, 99234 is Column Two — 99234 denies 99235 42820 is Column One, 99235 is Column Two — 99235 denies 99236 42820 is Column One, 99236 is Column Two — 99236 denies 99238 42820 is Column One, 99238 is Column Two — 99238 denies 99239 42820 is Column One, 99239 is Column Two — 99239 denies 99242 42820 is Column One, 99242 is Column Two — 99242 denies 99243 42820 is Column One, 99243 is Column Two — 99243 denies 99244 42820 is Column One, 99244 is Column Two — 99244 denies 99245 42820 is Column One, 99245 is Column Two — 99245 denies 99252 42820 is Column One, 99252 is Column Two — 99252 denies 99253 42820 is Column One, 99253 is Column Two — 99253 denies 99254 42820 is Column One, 99254 is Column Two — 99254 denies 99255 42820 is Column One, 99255 is Column Two — 99255 denies 99291 42820 is Column One, 99291 is Column Two — 99291 denies 99292 42820 is Column One, 99292 is Column Two — 99292 denies 99304 42820 is Column One, 99304 is Column Two — 99304 denies 99305 42820 is Column One, 99305 is Column Two — 99305 denies 99306 42820 is Column One, 99306 is Column Two — 99306 denies 99307 42820 is Column One, 99307 is Column Two — 99307 denies 99308 42820 is Column One, 99308 is Column Two — 99308 denies 99309 42820 is Column One, 99309 is Column Two — 99309 denies 99310 42820 is Column One, 99310 is Column Two — 99310 denies 99315 42820 is Column One, 99315 is Column Two — 99315 denies 99316 42820 is Column One, 99316 is Column Two — 99316 denies 99347 42820 is Column One, 99347 is Column Two — 99347 denies 99348 42820 is Column One, 99348 is Column Two — 99348 denies 99349 42820 is Column One, 99349 is Column Two — 99349 denies 99350 42820 is Column One, 99350 is Column Two — 99350 denies 99374 42820 is Column One, 99374 is Column Two — 99374 denies 99375 42820 is Column One, 99375 is Column Two — 99375 denies 99377 42820 is Column One, 99377 is Column Two — 99377 denies 99378 42820 is Column One, 99378 is Column Two — 99378 denies G0463 42820 is Column One, G0463 is Column Two — G0463 denies G0471 42820 is Column One, G0471 is Column Two — G0471 denies MUE units per patient per date of service: not published