NCCI edits for CPT 48552
CMS lists 8 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 22 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 2 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.
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.
- 35531 35531 denies
- 35563 35563 denies
- 35685 35685 denies
- 44010 44010 denies
- 44820 44820 denies
- 44850 44850 denies
- 47460 47460 denies
- 47531 47531 denies
- 47533 47533 denies
- 47534 47534 denies
- 47535 47535 denies
- 47536 47536 denies
- 47550 47550 denies
- 47552 47552 denies
- 47553 47553 denies
- 47554 47554 denies
- 47555 47555 denies
- 47556 47556 denies
- 48100 48100 denies
- 48102 48102 denies
- 48120 48120 denies
- 48545 48545 denies
NCCI edits are not a coverage determination or a substitute for the current CMS NCCI Policy Manual. Deleted pairs are excluded from this page.